FDA Adverse Event
Malfunction
Summary report: N
S3 EX - 3005
MDR report key: 2800243
·
Received October 8, 2012
Report
- Report Number
- 1831750-2012-10524
- Event Type
- Malfunction
- Date Received
- October 8, 2012
- Date of Event
- September 10, 2012
- Report Date
- September 10, 2012
- Manufacturer
- STRYKER MEDICAL
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WV, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
RESULT: FOWLER MOTOR MALFUNCTIONED.
Description of Event or Problem · 1
IT WAS REPORTED BY SERVICE REPORT THAT THE FOWLER WAS DRIFTING. NO PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCES WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | S3 EX - 3005 | A/C POWERED HOSPITAL BED | FNL | STRYKER MEDICAL | 3005 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |