FDA Adverse Event
Malfunction
Summary report: N
3002 SECURE II
MDR report key: 2191589
·
Received July 1, 2011
Report
- Report Number
- 1831750-2011-06654
- Event Type
- Malfunction
- Date Received
- July 1, 2011
- Date of Event
- June 7, 2011
- Report Date
- June 7, 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: DAMAGED SIDERAIL PANELS. DAMAGED MOTION INTERRUPT PAN.
Description of Event or Problem · 1
IT WAS REPORTED BY SVC REPORT THAT THE MOTION INTERRUPT PAN WAS DAMAGED, AND THE SIDERAIL PANELS WERE CRACKED. 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 | 3002 SECURE II | A/C POWERED HOSPITAL BED | FNL | STRYKER MEDICAL | 3002 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |