FDA Adverse Event Malfunction Summary report: N

CUB PEDIATRIC CRIB- FIXED BASE

MDR report key: 3071250 · Received April 22, 2013

Report

Report Number
0001831750-2013-03621
Event Type
Malfunction
Date Received
April 22, 2013
Date of Event
March 26, 2013
Report Date
March 26, 2013
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FMS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

A VISUAL AND FUNCTIONAL INSPECTION WAS PERFORMED BY THE REPAIR TECHNICIAN AND IT WAS FOUND THIS UNIT WAS NOT ASSEMBLED WITH THE OPTIONAL COMBINED STEER/BRAKE MECHANISM. THE BRAKES FOR THIS UNIT ARE LOCATED ON EACH CASTER. IT WAS REPORTED THAT THE DELIVERY PERSON WHO DELIVERED THIS UNIT THOUGHT THAT THIS UNIT HAD THE OPTIONAL COMBINED STEER/BRAKE MECHANISM INSTALLED. THERE WAS NO DEFECT FOUND WITH THIS UNIT AND THE UNIT PERFORMED TO SPECIFICATION.

Description of Event or Problem · 1

IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE UNIT WAS DELIVERED WITH NO FUNCTIONING BRAKES. STRYKER TECHNICIAN REPLACED THE BRAKES AND RETURNED THE UNIT TO SERVICE. 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 UNIT WAS DELIVERED WITH NO FUNCTIONING BRAKES. STRYKER TECHNICIAN REPLACED THE BRAKES AND RETURNED THE UNIT TO SERVICE. 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
172665 CUB PEDIATRIC CRIB- FIXED BASE BED, PEDIATRIC OPEN HOSPITAL FMS STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1