FDA Adverse Event Malfunction Summary report: N

SECURE II MED/SURG BED

MDR report key: 2260428 · Received August 19, 2011

Report

Report Number
1831750-2011-08777
Event Type
Malfunction
Date Received
August 19, 2011
Date of Event
July 26, 2011
Report Date
July 26, 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: POWER CORD PLUG MISSING THE GROUND PRONG.

Description of Event or Problem · 1

IT WAS REPORTED BY SERVICE REPORT THAT THE POWER CORD THAT GOES TO THE 110 VOLT OUTLET WAS MISSING THE GROUND PRONG. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SECURE II MED/SURG BED A/C POWERED HOSPITAL BED FNL STRYKER MEDICAL 3002 EX NA

Patients

Seq Age Sex Outcome Treatment
1