FDA Adverse Event Injury Summary report: N

GOBED II

MDR report key: 3612556 · Received February 7, 2014

Report

Report Number
0001831750-2014-01073
Event Type
Injury
Date Received
February 7, 2014
Date of Event
January 7, 2014
Report Date
January 10, 2014
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FNL
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SUPPLEMENTAL SUBMITTED TO REPORT THAT AN INSPECTION WAS SAID TO HAVE BEEN PERFORMED BY AN UNKNOWN INDIVIDUAL AT SANTA CASA DE SAO PAULO. IT WAS FURTHER REPORTED THAT THE TECHNICAL ASSISTANCE DEPARTMENT HAS FIXED THE BED AND IT IS BACK IN SERVICE. INSPECTION WAS PERFORMED BY AN UNKNOWN INDIVIDUAL AT (B)(6).

Description of Event or Problem · 1

IT WAS REPORTED THAT THE HEAD END OF THE BED DECLINED ABRUPTLY (APPROXIMATELY 50CM) DUE TO A MALFUNCTIONED LIFT MOTOR. THE PATIENT ON THE BED WAS REPORTEDLY "VERY SCARED AND HAS PSYCHOLOGICAL DAMAGES."

Description of Event or Problem · 1

IT WAS REPORTED THAT THE HEAD END OF THE BED DECLINED ABRUPTLY (APPROXIMATELY 50CM) DUE TO A MALFUNCTIONED LIFT MOTOR. THE PATIENT ON THE BED WAS REPORTEDLY "VERY SCARED AND HAS PSYCHOLOGICAL DAMAGES."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
80321 GOBED II BED, AC-POWERED ADJUSTABLE HOSPITAL FNL STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1