FDA Adverse Event Malfunction Summary report: N

3002 SECURE II

MDR report key: 2223314 · Received August 17, 2011

Report

Report Number
1831750-2011-08744
Event Type
Malfunction
Date Received
August 17, 2011
Date of Event
July 21, 2011
Report Date
July 21, 2011
Manufacturer
STRYKER MEDICAL
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESULT: DAMAGED HEAD RIGHT SIDERAIL PANEL AND CRACKED FOOTBOARD.

Description of Event or Problem · 1

IT WAS REPORTED BY SERVICE REPORT THAT THE HEAD RIGHT SIDERAIL WAS DAMAGED AND BENT, AND THE FOOTBOARD MODULES WERE ALSO DAMAGED. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES WERE REPORTED.

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