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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO BED INTOUCH WITH ZOOM MOTOR; BED, AC-POWERED ADJUSTABLE HOSPITAL

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STRYKER MEDICAL-KALAMAZOO BED INTOUCH WITH ZOOM MOTOR; BED, AC-POWERED ADJUSTABLE HOSPITAL Back to Search Results
Model Number 2141
Device Problem Intermittent Loss of Power (4016)
Patient Problems Pain (1994); No Clinical Signs, Symptoms or Conditions (4582)
Event Date 07/01/2020
Event Type  malfunction  
Manufacturer Narrative
This mdr is a consolidation of records summarized as part of the fda voluntary malfunction summary reporting program.48 devices were evaluated in the field and the issue was confirmed; 39 devices had worn components, 1 device had an incorrect/incompatible component, 9 devices had broken/damaged components, and 1 device had a detached component.The devices were repaired and returned.1 device was not evaluated and no cause was determined, as the customer did not make the device accessible for testing.There was no remedial action taken.This device is not labeled for single use.
 
Event Description
This report summarizes 49 malfunction events, where it was reported the zoom disengaged during use.There was 1 event where a user experienced pain.
 
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Brand Name
BED INTOUCH WITH ZOOM MOTOR
Type of Device
BED, AC-POWERED ADJUSTABLE HOSPITAL
Manufacturer (Section D)
STRYKER MEDICAL-KALAMAZOO
3800 east centre avenue
portage MI 49002
Manufacturer (Section G)
STRYKER MEDICAL-KALAMAZOO
3800 east centre avenue
portage MI 49002
Manufacturer Contact
kristen canter
3800 east centre avenue
portage, MI 49002
2693292100
MDR Report Key10733659
MDR Text Key213002839
Report Number0001831750-2020-00940
Device Sequence Number1
Product Code FNL
UDI-Device Identifier07613327169232
UDI-Public07613327169232
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported49
Summary Report (Y/N)Y
Report Source Manufacturer
Source Type company representative
Reporter Occupation Other
Type of Report Initial
Report Date 10/26/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator No Information
Device Model Number2141
Device Catalogue Number2141000000
Was Device Available for Evaluation? Yes
Initial Date Manufacturer Received 10/01/2020
Initial Date FDA Received10/26/2020
Was Device Evaluated by Manufacturer? No
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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