FDA Adverse Event
Malfunction
Summary report: N
S3 EX - 3005
MDR report key: 3031371
·
Received April 2, 2013
Report
- Report Number
- 0001831750-2013-02808
- Event Type
- Malfunction
- Date Received
- April 2, 2013
- Date of Event
- March 9, 2013
- Report Date
- March 11, 2013
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4): DEVICE EVALUATED BY ACCOUNT PERSONNEL.
Description of Event or Problem · 1
IT WAS REPORTED BY REPAIR WORK ORDER THAT THE HEADEND OF THE BED WAS STUCK AT AN ELEVATED HEIGHT DUE TO THE CPU DAMPER BEING DAMAGED. NO PATIENT WAS AFFECTED AND NO ADVERSE CONSEQUENCES OR CLINICALLY RELEVANT DELAYS IN TREATMENT WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 133525 | S3 EX - 3005 | BED, AC-POWERED ADJUSTABLE HOSPITAL | FNL | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |