BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRINT - BASE ASSY

    MDR report key: 2950960 · Received February 8, 2013

    Report

    Report Number
    0001831750-2013-00912
    Event Type
    Malfunction
    Date Received
    February 8, 2013
    Date of Event
    January 2, 2013
    Report Date
    January 16, 2013
    Manufacturer
    STRYKER MEDICAL-KALAMAZOO
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    RESULT : BRAKE PLATE KIT.

    Description of Event or Problem · 1

    IT WAS REPORTED BY THE CUSTOMER THAT WHILE ATTEMPTING TO TRANSFER A PATIENT FROM BED TO CHAIR, THE BRAKES WERE ALLEGEDLY LOCKED, BUT THE BED CONTINUED TO ROLL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    54519 PRINT - BASE ASSY BED, AC-POWERED ADJUSTABLE HOSPITAL FNL STRYKER MEDICAL-KALAMAZOO

    Patients

    Seq Age Sex Outcome Treatment
    1