FDA Adverse Event Malfunction Summary report: N

SECURE II MED/SURG BED

MDR report key: 3013608 · Received March 20, 2013

Report

Report Number
0001831750-2013-02252
Event Type
Malfunction
Date Received
March 20, 2013
Date of Event
February 26, 2013
Report Date
February 26, 2013
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SUPPLEMENTAL SUBMITTED AS FURTHER INVESTIGATION DETERMINED THAT FOWLER WAS UNABLE TO RISE COMPLETELY AND THE FOWLER ANGLE WAS INACCURATE DUE TO A BROKEN WELD ON THE FOWLER. THIS WILL RESULT IN CAREGIVER ANNOYANCE SINCE FOWLER WAS UNABLE TO RAISE. ADDITIONALLY, IT IS NOT LIKELY TO HARM THE PATIENT AS THAT IS THE DESIRED POSITION FOR CPR ADMINISTRATION IF REQUIRED A CAREGIVER AND FOWLER ANGLE WAS INACCURATE WOULD RESULT IN USER ANNOYANCE AS THE BED ANGLE READING IS USED FOR REFERENCE ONLY AND IT WAS REPORTED THAT NO BED FUNCTIONS WERE AFFECTED. NO PATIENT WAS AFFECTED AND NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED. THIS ISSUE IS NOT LIKELY TO CAUSE OR CONTRIBUTE TO SERIOUS INJURY OR DEATH IF IT WERE TO RECUR.

Description of Event or Problem · 1

IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE MOTION INTERRUPT PAN WAS HANGING DOWN. 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 THE FOWLER COULD NOT BE LOWER DUE TO BROKEN FOWLER WELDMENT AND ALSO MOTION INTERRUPT PAN WAS HANGING DOWN. 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
115663 SECURE II MED/SURG BED BED, AC-POWERED ADJUSTABLE HOSPITAL FNL STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1