FDA Adverse Event Malfunction Summary report: N

SECURE 3 MED/SURG BEDOBS 01/13

MDR report key: 3112431 · Received May 14, 2013

Report

Report Number
0001831750-2013-04380
Event Type
Malfunction
Date Received
May 14, 2013
Date of Event
April 15, 2013
Report Date
April 15, 2013
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

MANUFACTURER'S INVESTIGATION IS STILL ONGOING; IF ADDITIONAL INFORMATION IS RECEIVED, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 1

FOLLOW-UP SUBMITTED AS INSPECTION WAS ALLEGEDLY PERFORMED BY AN UNKNOWN INDIVIDUAL OF (B)(6). THE ALLEGED INSPECTION IDENTIFIED THAT THE CPU BOARD WAS FAULTY AND A NEW ONE WAS ORDERED. EVAULATION ALLEGEDLY PERFORMED BY CUSTOMER.

Description of Event or Problem · 1

IT WAS REPORTED VIA REPAIR WORK ORDER THAT THERE WAS NO POWER TO THE CPU BOARD. 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 NO POWER TO THE CPU BOARD. 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
213589 SECURE 3 MED/SURG BEDOBS 01/13 BED, AC-POWERED ADJUSTABLE HOSPITAL FNL STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1