BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    3002 MASTER BOMS

    MDR report key: 2915161 · Received December 7, 2012

    Report

    Report Number
    1831750-2012-12633
    Event Type
    Malfunction
    Date Received
    December 7, 2012
    Date of Event
    November 12, 2012
    Report Date
    November 12, 2012
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    MOTION INTERRUPT PAN.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE POWER CORD AND MOTION INTERRUPT PAN WERE DAMAGED. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 3002 MASTER BOMS SECURE II MED/SURG BED FNL STRYKER MEDICAL 3002 NA

    Patients

    Seq Age Sex Outcome Treatment
    1