FDA Adverse Event
Malfunction
Summary report: N
GOBED II MED/SURG BED
MDR report key: 2132343
·
Received June 13, 2011
Report
- Report Number
- 1831750-2011-05869
- 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
- IL, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
GROUND PRONG PULLED OUT OF POWER ENTRY MODULE.
Description of Event or Problem · 1
IT WAS REPORTED BY SERVICE REPORT THAT THE THERE IS NO POWER ON THE BED BECAUSE THE GROUND PRONG WAS PULLED OUT ON THE POWER ENTRY MODULE. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | GOBED II MED/SURG BED | A/C HOSPITAL BED | FNL | STRYKER MEDICAL | FL28C | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |