FDA Adverse Event Malfunction Summary report: N

SECURE II MED/SURG BED

MDR report key: 2150271 · Received June 10, 2011

Report

Report Number
1831750-2011-05824
Event Type
Malfunction
Date Received
June 10, 2011
Date of Event
May 14, 2011
Report Date
May 14, 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: WORN GILL BRAKE PLATE KIT.

Description of Event or Problem · 1

IT WAS REPORTED BY SERVICE REPORT THAT THE BRAKES WERE NOT HOLDING AT THE FOOT-END. NO PATIENT 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