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