BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    3002 MASTER BOMS

    MDR report key: 2920136 · Received January 17, 2013

    Report

    Report Number
    0001831750-2013-00159
    Event Type
    Malfunction
    Date Received
    January 17, 2013
    Date of Event
    December 27, 2012
    Report Date
    December 27, 2012
    Manufacturer
    STRYKER MEDICAL-KALAMAZOO
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    RESULT: SENSOR COIL CORD.RESULT: MOTION INTERRUPT PAN.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE HEADEND LIFT WAS STUCK AT AN ELEVATED HEIGHT AND THE MOTION INTERRUPT PAN WAS DAMAGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    26655 3002 MASTER BOMS BED, AC-POWERED ADJUSTABLE HOSPITAL FNL STRYKER MEDICAL-KALAMAZOO

    Patients

    Seq Age Sex Outcome Treatment
    1