FDA Adverse Event
Malfunction
Summary report: N
3002 SECURE II
MDR report key: 2223162
·
Received August 16, 2011
Report
- Report Number
- 1831750-2011-08636
- Event Type
- Malfunction
- Date Received
- August 16, 2011
- Date of Event
- July 19, 2011
- Report Date
- July 19, 2011
- Manufacturer
- STRYKER MEDICAL
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
RESULS: LOOSE CONNECTION BETWEEN THE POWER SUPPLY CORD WITH THE CPU BOARD.
Description of Event or Problem · 1
IT WAS REPORTED BY SERVICE REPORT THAT THE MOTION FUNCTIONS WERE NOT OPERATING FROM NEITHER THE SIDE RAIL NOR FOOTBOARD. IT IS UNKNOWN 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 |