FDA Adverse Event Malfunction Summary report: N

SECURE II MED/SURG BED

MDR report key: 2210228 · Received July 11, 2011

Report

Report Number
1831750-2011-06887
Event Type
Malfunction
Date Received
July 11, 2011
Date of Event
June 14, 2011
Report Date
June 14, 2011
Manufacturer
STRYKER MEDICAL
Product Code
FNL
Removal / Correction Number
Z-1685-2008
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, 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 WHEN IN THE LOCKED POSITION. 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