FDA Adverse Event Other Summary report: N

CUB PEDIATRIC CRIB-HYD BASE

MDR report key: 2092925 · Received May 11, 2011

Report

Report Number
1831750-2011-04543
Event Type
Other
Date Received
May 11, 2011
Date of Event
April 11, 2011
Report Date
April 11, 2011
Manufacturer
STRYKER MEDICAL
Product Code
FMS
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE FACILITY REPORTEDLY HAS EXAMINED THE UNIT, HOWEVER, THEY WILL NOT PROVIDE FEEDBACK NOR RESULTS TO STRYKER UPON REQUEST. THE ROOT CAUSE IS UNDETERMINED AS PRODUCT EVAL HAS NOT BEEN POSSIBLE.

Description of Event or Problem · 1

IT WAS REPORTED THAT A PT'S FOOT WAS CAUGHT BETWEEN THE SIDE RAIL SLATS TWICE AND BETWEEN THE SIDE RAIL SLAT AND THE ROUND METAL BAR NEAR THE ACTIVATION LEVER (USED TO RAISE AND LOWER THE SIDE RAIL) ON THE CRIB. THE CUSTOMER STATED THAT IT WAS THE SAME PT IN THE SAME CRIB IN ALL THREE INSTANCES. REPORTEDLY, SIDE RAIL PADS WERE NOT USED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CUB PEDIATRIC CRIB-HYD BASE BED, PEDIATRIC OPEN HOSPITAL FMS STRYKER MEDICAL FL19H

Patients

Seq Age Sex Outcome Treatment
1 UNK