FDA Adverse Event Malfunction Summary report: N

NARA, DOMESTIC

MDR report key: 6912303 · Received October 3, 2017

Report

Report Number
0001831750-2017-00430
Event Type
Malfunction
Date Received
October 3, 2017
Date of Event
September 5, 2017
Report Date
March 27, 2018
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
NZG
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SUPPLEMENTAL SUBMITTED TO INCLUDE UDI.

Additional Manufacturer Narrative · 1

IT WAS DETERMINED DURING THE EVALUATION THAT THE BASE WAS BENT, CAUSING THE CASTERS TO BE LOOSE/WOBBLY, WHICH RESULTED IN THE UNIT BEING DIFFICULT TO MANEUVER. THIS ISSUE IS NOT LIKELY TO CAUSE OR CONTRIBUTE TO SERIOUS INJURY OR DEATH IF IT WAS TO RECUR AND IS, THEREFORE, NOT REPORTABLE. THE ISSUE WAS RESOLVED FOR THE CUSTOMER BY SCRAPPING THE UNIT AS THE BENT FRAME WAS FOUND TO BE UNREPAIRABLE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE CASTERS ARE LOOSE/WOBBLY. 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 THAT THE CASTERS ARE LOOSE/WOBBLY. 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 THAT THE CASTERS ARE LOOSE/WOBBLY. 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
689356 NARA, DOMESTIC BASSINET, HOSPITAL NZG STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1