FDA Adverse Event Malfunction Summary report: N

MA204

MDR report key: 2961521 · Received January 17, 2013

Report

Report Number
1831750-2013-90494
Event Type
Malfunction
Date Received
January 17, 2013
Date of Event
December 21, 2012
Report Date
December 21, 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

THE REASON FOR THE SERIALIZATION STARTING WITH 90XXX IS TO PROVIDE CLARIFICATION FOLLOWING A CHANGE IN STRYKER'S ELECTRONIC COMPLAINT SYSTEMS.

Description of Event or Problem · 1

IT WAS REPORTED BY SERVICE REPORT THAT THE NURSE CALL SYSTEM WAS NOT WORKING DUE TO INTERFACE CABLE WAS BROKE AND PULLED FROM THE BED. CUSTOMER REPORTED THAT THEY DID NOT KNOW IF THER WAS ANY PT INVOLVEMENT OR IF THERE WERE ADVERSE CONSEQUENCES TO REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
26125 MA204 A/C HOSPITAL BED FNL STRYKER MEDICAL FL25E NA

Patients

Seq Age Sex Outcome Treatment
1