FDA Adverse Event
Malfunction
Summary report: N
3002 SECURE II
MDR report key: 2132332
·
Received June 13, 2011
Report
- Report Number
- 1831750-2011-05837
- Event Type
- Malfunction
- Date Received
- June 13, 2011
- Date of Event
- May 16, 2011
- Report Date
- May 16, 2011
- Manufacturer
- STRYKER MEDICAL
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
RESULT: BROKEN POWER CORD AND POWER CORD PLUG MISSING GROUND PRONG.
Description of Event or Problem · 1
IT WAS REPORTED BY SERVICE REPORT THAT THE BED HAD NO POWER, AND THE MAIN POWER CORD PLUG WAS MISSING THE GROUND PRONG. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 3002 SECURE II | A/C POWERED HOSPITAL BED | FNL | STRYKER MEDICAL | 3002 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |