FDA Adverse Event
Malfunction
Summary report: N
3002 SECURE II
MDR report key: 2231344
·
Received July 18, 2011
Report
- Report Number
- 1831750-2011-07169
- Event Type
- Malfunction
- Date Received
- July 18, 2011
- Date of Event
- June 20, 2011
- Report Date
- June 20, 2011
- Manufacturer
- STRYKER MEDICAL
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
RESULTS: MISSING MOTION INTERRUPT PAN. DAMAGED SIDERAIL PANELS WITH SHARP EDGES.
Description of Event or Problem · 1
IT WAS REPORTED BY SERVICE REPORT THAT THE MOTION INTERRUPT PAN WAS MISSING, AND THE SIDERAIL OUTER ARM COVER WAS BROKEN WITH SHARP EDGES. NO PATIENT 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 | 3002000000 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |