BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SECURE II MED/SURG BED

    MDR report key: 2141392 · Received June 1, 2011

    Report

    Report Number
    1831750-2011-05349
    Event Type
    Malfunction
    Date Received
    June 1, 2011
    Date of Event
    May 5, 2011
    Report Date
    May 5, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    RESULT: CRACKED SIDERAIL PANELS AND DAMAGED FOOTBOARD MODULES. MISSING MOTION INTERRUPT PAN.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE MOTION INTERRUPT PAN WAS MISSING, AND SIDERAILS AND FOOT BOARD WERE STRUCTURALLY CRACKED. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES WERE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SECURE II MED/SURG BED A/C POWERED HOSPITAL BED FNL STRYKER MEDICAL 3002 EX NA

    Patients

    Seq Age Sex Outcome Treatment
    1