FDA Adverse Event
Malfunction
Summary report: N
MA204
MDR report key: 2910249
·
Received December 19, 2012
Report
- Report Number
- 1831750-2012-13095
- Event Type
- Malfunction
- Date Received
- December 19, 2012
- Date of Event
- December 1, 2012
- Report Date
- December 1, 2012
- Manufacturer
- STRYKER MEDICAL
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
RESULT: GAS SPRING.
Description of Event or Problem · 1
IT WAS REPORTED BY SERVICE REPORT THAT THE FOWLER WAS DRIFTING WITH WEIGHT. NO PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCES REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MA204 | A/C HOSPITAL BED | FNL | STRYKER MEDICAL | FL25E | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |