BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MA204

    MDR report key: 3190799 · Received June 26, 2013

    Report

    Report Number
    0001831750-2013-05833
    Event Type
    Malfunction
    Date Received
    June 26, 2013
    Date of Event
    June 4, 2013
    Report Date
    June 4, 2013
    Manufacturer
    STRYKER MEDICAL-KALAMAZOO
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE BRAKES WOULD NOT LOCK DUE TO BROKEN CASTER STEMS. IT WAS ALSO REPORTED THAT THE POWER CORD GROUND PRONG WAS BENT. IT WAS FURTHER REPORTED THAT THE NURSE CALL CABLE WAS DAMAGED. 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
    290168 MA204 BED, AC-POWERED ADJUSTABLE HOSPITAL FNL STRYKER MEDICAL-KALAMAZOO

    Patients

    Seq Age Sex Outcome Treatment
    1