FDA Adverse Event Malfunction Summary report: N

SECURE II MED/SURG BED

MDR report key: 3253074 · Received July 29, 2013

Report

Report Number
0001831750-2013-06755
Event Type
Malfunction
Date Received
July 29, 2013
Date of Event
July 2, 2013
Report Date
July 2, 2013
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SUPPLEMENTAL SUBMITTED AS THE INVESTIGATION CONCLUDED THAT THE CPU AND POWER SUPPLY BOARD WERE BURNED. THERE WAS NOTHING WRONG WITH POWER BOARD AS REPORTED.

Description of Event or Problem · 1

IT WAS REPORTED VIA REPAIR WORK ORDER THAT THERE WAS NO POWER TO THE BED DUE TO MALFUNCTION CPU AND POWER SUPPLY BOARD WERE BURNED. 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 BED DUE TO MALFUNCTION POWER SUPPLY, POWER BOARD AND 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
353030 SECURE II MED/SURG BED BED, AC-POWERED ADJUSTABLE HOSPITAL FNL STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1