FDA Adverse Event Malfunction Summary report: N

SELECT, CDN, HI RAILS, EXT, AUX

MDR report key: 5724468 · Received June 14, 2016

Report

Report Number
3006433555-2016-00158
Event Type
Malfunction
Date Received
June 14, 2016
Date of Event
May 20, 2016
Report Date
May 20, 2016
Manufacturer
STRYKER MEDICAL LONDON DBA CHG HOSPITAL BEDS
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

SUPPLEMENTAL SUBMITTED WITH RESULTS OF EVALUATION, AND TO REPORT THAT THE UNIT WAS REPLACED FOR THE CUSTOMER.

Description of Event or Problem · 1

IT WAS REPORTED THE HI-LO ACTUATOR HOUSING HAD BROKEN AWAY FROM THE MOUNT. THOUGH NOT REPORTED, DEPENDING ON THE POSITION (HEIGHT) OF THE LIFT WHEN THE BREAKAGE OCCURRED, AN UNEXPECTED LOWERING OF THE BED COULD RESULT. 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 HI-LO ACTUATOR HOUSING HAD BROKEN AWAY FROM THE MOUNT. THOUGH NOT REPORTED, DEPENDING ON THE POSITION (HEIGHT) OF THE LIFT WHEN THE BREAKAGE OCCURRED, AN UNEXPECTED LOWERING OF THE BED COULD RESULT. IT WAS ALSO CONFIRMED THAT A PATIENT WAS ON THE BED WHEN THIS OCCURRED, BUT THE BED DID NOT LOWER AND THERE WAS NO INJURY TO THE PATIENT FROM THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
376676 SELECT, CDN, HI RAILS, EXT, AUX BED, AC-POWERED ADJUSTABLE HOSPITAL FNL STRYKER MEDICAL LONDON DBA CHG HOSPITAL BEDS

Patients

Seq Age Sex Outcome Treatment
1