FDA Adverse Event Malfunction Summary report: N

3002 SECURE II

MDR report key: 2191876 · Received July 29, 2011

Report

Report Number
1831750-2011-07820
Event Type
Malfunction
Date Received
July 29, 2011
Date of Event
July 1, 2011
Report Date
July 1, 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: MISSING MOTION INTERRUPT PAN, DAMAGED POWER CORD, BED EXIT AND SCALE LABELS WERE MISSING.

Description of Event or Problem · 1

IT WAS REPORTED BY SVC REPORT THAT THE MOTION INTERRUPT PAN WAS MISSING; THE POWER CORD WAS DAMAGED, AND BED EXIT AND SCALE LABELS WERE MISSING ON THE FOOTBOARD. 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