FDA Adverse Event
Malfunction
Summary report: N
MA204
MDR report key: 3230130
·
Received July 16, 2013
Report
- Report Number
- 0001831750-2013-06402
- Event Type
- Malfunction
- Date Received
- July 16, 2013
- Date of Event
- June 22, 2013
- Report Date
- June 22, 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 ENGAGE DUE TO BROKEN CASTER STEM AND POWER CORD SHEATHING WAS DAMAGED. IT WAS ALSO REPORTED THAT THE NURSE CALL CABLE WAS MISSING. 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 |
|---|---|---|---|---|---|---|---|
| 329744 | MA204 | BED, AC-POWERED ADJUSTABLE HOSPITAL | FNL | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |