FDA Adverse Event
Malfunction
Summary report: N
LD304 MATERNITY BED
MDR report key: 4806239
·
Received May 29, 2015
Report
- Report Number
- 0001831750-2015-00252
- Event Type
- Malfunction
- Date Received
- May 29, 2015
- Date of Event
- April 30, 2015
- Report Date
- May 1, 2015
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- HDD
- PMA / PMN Number
- K950889
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
CUSTOMER ORDERED PARTS AND PERFORMED THEIR OWN REPAIRS. CUSTOMER PERFORMED OWN EVALUATION AND ORDERED PARTS FOR REPAIR.
Additional Manufacturer Narrative · 1
PMA/510(K)#: K950889.
Description of Event or Problem · 1
IT WAS REPORTED THE UPRIGHT ASSEMBLY WOULD NOT STAY UP AND DAMAGED OTHER COMPONENTS, REQUIRING THE ENTIRE CALF SUPPORT TO BE REPLACED . 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 THE UPRIGHT ASSEMBLY WOULD NOT STAY UP AND DAMAGED OTHER COMPONENTS, REQUIRING THE ENTIRE CALF SUPPORT TO BE REPLACED. 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 |
|---|---|---|---|---|---|---|---|
| 350723 | LD304 MATERNITY BED | TABLE, OBSTETRICAL, AC-POWERED (AND ACCESSORIES) | HDD | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |