FDA Adverse Event Malfunction Summary report: N

SECURE II MED/SURG BED

MDR report key: 2143569 · Received June 2, 2011

Report

Report Number
1831750-2011-05398
Event Type
Malfunction
Date Received
June 2, 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
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESULT: WORN DOWN GILL BRAKE PLATE KIT.

Description of Event or Problem · 1

IT WAS REPORTED BY SERVICE REPORT THAT THE BRAKES WOULD NOT HOLD. IT IS UNK IF THERE WAS PT INVOLVEMENT OR ADVERSE CONSEQUENCES TO REPORT.

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