BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADEL OBS 6/04

    MDR report key: 3040964 · Received April 8, 2013

    Report

    Report Number
    0001831750-2013-03004
    Event Type
    Malfunction
    Date Received
    April 8, 2013
    Date of Event
    December 31, 2012
    Report Date
    March 14, 2013
    Manufacturer
    STRYKER MEDICAL-KALAMAZOO
    Product Code
    HDD
    PMA / PMN Number
    K950889
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE HEADEND LIFT WAS STUCK IN AN ELEVATED POSITION DUE TO A BROKEN TREND BRACKET. 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
    144045 ADEL OBS 6/04 TABLE, OBSTETRICAL, AC-POWERED (AND ACCESSORIES) HDD STRYKER MEDICAL-KALAMAZOO

    Patients

    Seq Age Sex Outcome Treatment
    1