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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 Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 01/01/2021
Event Type  malfunction  
Manufacturer Narrative
This record is a consolidation of records summarized as part of the fda voluntary malfunction summary reporting program.  19 devices were functionally/visually inspected in the field.The devices were repaired and returned to use.There was no remedial action taken. this device is not labeled for single use.
 
Event Description
This report summarizes 19 malfunction events, where it was reported the zoom suddenly stops.There was no patient involvement.
 
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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
kaitlyn matheny
3800 east centre avenue
portage, MI 49002
2693292100
MDR Report Key11711132
MDR Text Key250400195
Report Number0001831750-2021-00756
Device Sequence Number1
Product Code FNL
UDI-Device Identifier07613327169232
UDI-Public07613327169232
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported19
Summary Report (Y/N)Y
Report Source Manufacturer
Source Type company representative
Reporter Occupation Other
Type of Report Initial
Report Date 04/22/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/22/2021
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
Date Manufacturer Received04/01/2021
Was Device Evaluated by Manufacturer? Yes
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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