FDA Adverse Event Malfunction Summary report: N

3002 SECURE II

MDR report key: 2223357 · Received August 17, 2011

Report

Report Number
1831750-2011-08740
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
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESULT: CRACKED INNER HEAD LEFT SIDERAIL PANEL. THIS USER FACILITY SERVES AS THE HEALTH CARE PROVIDER FOR ONE OF THE STATE PRISONS. AS A RESULT, IT HAS BEEN REPORTED THAT PTS INTENTIONALLY DAMAGE VARIOUS DEVICE COMPONENTS WITH UNRESTRAINED APPENDAGES. ADDITIONALLY, PTS ARE REGULARLY RESTRAINED IN MANNERS THAT CONFLICT WITH THE DEVICE'S INSTRUCTIONS FOR USE.

Description of Event or Problem · 1

IT WAS REPORTED BY SERVICE REPORT THAT THE INNER HEAD-LEFT SIDERAIL BLANK MODULE WAS BROKEN, AND THERE WAS FLUID INTRUSION LOCATED AT THE BOTTOM OF THE PANEL. 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