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