FDA Adverse Event
Malfunction
Summary report: N
S3 EX - 3005
MDR report key: 2990638
·
Received March 5, 2013
Report
- Report Number
- 0001831750-2013-01757
- Event Type
- Malfunction
- Date Received
- March 5, 2013
- Date of Event
- February 8, 2013
- Report Date
- February 10, 2013
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
FOLLOW-UP SUBMITTED AS FURTHER INVESTIGATION DETERMINED THAT THE NURSE CALL WAS STILL FUNCTIONAL. HOWEVER, IT WAS ALSO DETERMINED THAT THERE WAS A LOSS OF THE VISUAL IBED INDICATOR AS IT WAS NOT INITIATED IN THE BED SETUP PROCEDURE.
Description of Event or Problem · 1
IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE NURSE CALL FUNCTION WAS NOT FUNCTIONAL DUE TO A MISALIGNED PLUG. NO PATIENT WAS AFFECTED AND NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED.
Description of Event or Problem · 1
IT WAS REPORTED VIA REPAIR WORK ORDER THAT THERE WAS A LOSS OF THE VISUAL IBED INDICATOR AS IT WAS NOT INITIATED IN THE BED SETUP PROCEDURE. NO PATIENT WAS AFFECTED AND NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 94289 | S3 EX - 3005 | BED, AC-POWERED ADJUSTABLE HOSPITAL | FNL | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |