FDA Adverse Event Malfunction Summary report: N

SECURE II MED/SURG BED

MDR report key: 2191684 · Received July 1, 2011

Report

Report Number
1831750-2011-06715
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
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESULT: POWER. CORD PLUG MISSING GROUND PRONG.

Description of Event or Problem · 1

IT WAS REPORTED BY SERVICE REPORT THAT THE MAIN POWER CORD PLUG WAS MISSING THE GROUND PRONG. 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