FDA Adverse Event Malfunction Summary report: N

LD304 MATERNITY BED

MDR report key: 3181949 · Received June 21, 2013

Report

Report Number
0001831750-2013-05622
Event Type
Malfunction
Date Received
June 21, 2013
Date of Event
May 28, 2013
Report Date
May 28, 2013
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
HDD
PMA / PMN Number
K950889
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SD, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

FOLLOW-UP SUBMITTED WITH INVESTIGATION RESULTS WHICH DETERMINED THE BROKEN SKOOCHER WELDS DID NOT AFFECT BED FUNCTIONALITY AND NO ACCESSIBLE SHARP EDGES WERE REPORTED. 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 THAT THERE WAS A SKOOCHER WELD BREAK WHICH MAY HAVE RESULTED IN THE FOWLER BEING STUCK IN AN ELEVATED POSITION WITH THE INABILITY TO LOWER THE FOWLER ELECTRONICALLY OR MANUALLY. 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 THAT THERE WAS A SKOOCHER WELD BREAK. 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
282058 LD304 MATERNITY BED TABLE, OBSTETRICAL, AC-POWERED (AND ACCESSORIES) HDD STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1