FDA Adverse Event
Malfunction
Summary report: N
SECURE 3 MED/SURG ZOOM BED
MDR report key: 2982822
·
Received January 4, 2013
Report
- Report Number
- 1831750-2012-13515
- Event Type
- Malfunction
- Date Received
- January 4, 2013
- Date of Event
- December 11, 2012
- Report Date
- December 11, 2012
- Manufacturer
- STRYKER MEDICAL
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IA, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
RESULT: FOWLER CLUTCH.
Description of Event or Problem · 1
IT WAS REPORTED BY SERVICE REPORT THAT THE FOWLER WAS DRIFTING DOWN. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 6070 | SECURE 3 MED/SURG ZOOM BED | A/C POWERED HOSPITAL BED | FNL | STRYKER MEDICAL | 3002 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |