FDA Adverse Event
Malfunction
Summary report: N
3002 SECURE II
MDR report key: 2221708
·
Received August 15, 2011
Report
- Report Number
- 1831750-2011-08600
- Event Type
- Malfunction
- Date Received
- August 15, 2011
- Date of Event
- July 12, 2011
- Report Date
- August 12, 2011
- Manufacturer
- STRYKER MEDICAL
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- LA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
RESULT: DAMAGED HEAD RIGHT SIDERAIL CABLE WITH EXPOSED WIRES. MDR IS BEING ISSUED BECAUSE FURTHER INVESTIGATION CONCLUDED THAT THERE IS A POTENTIAL RISK TO SAFETY ASSOCIATED WITH THE HEAD RIGHT SIDERAIL CABLE EXPOSED WIRES POSSIBLY SHORTING OUT THE CPU DUE TO DAMAGED TIGHT ZIP TIES OR A LOSS OF SIDERAIL CABLE RETENTION, BECAUSE IT WOULD HINDER CRITICAL FUNCTIONS, SUCH AS BED EXIT, USED TO AID STAFF IN THE DETECTION OF PTS MOVING OUT OF BED. RC: DAMAGED HEAD RIGHT SIDERAIL CABLE WITH EXPOSED WIRES.
Description of Event or Problem · 1
IT WAS REPORTED BY SERVICE REPORT THAT THE HEAD RIGHT SIDERAIL CABLE WAS DAMAGED WITH BARE WIRES EXPOSED. 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 |