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