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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO SECURE 3 MED/SURG BEDOBS 01/13; BED, AC-POWERED ADJUSTABLE HOSPITAL

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STRYKER MEDICAL-KALAMAZOO SECURE 3 MED/SURG BEDOBS 01/13; BED, AC-POWERED ADJUSTABLE HOSPITAL Back to Search Results
Catalog Number 3002S3EX
Device Problem No Audible Alarm (1019)
Patient Problems Fall (1848); Bone Fracture(s) (1870); Hip Fracture (2349)
Event Date 10/18/2021
Event Type  Injury  
Manufacturer Narrative
The user facility evaluated their device.
 
Event Description
It was reported that the alarm did not sound when a patient fell from the bed.The user facility performed their own evaluation and later met with a stryker field service technician.The user facility determined that there were no defects with the bed and believe the caregiver did not check all of the cables to make sure they were plugged in properly.The stryker field service technician was told that the patient suffered a hip fracture; however, further injury details are still being gathered.
 
Manufacturer Narrative
The user facility provided further details regarding the injury.Section h codes and b5 have been updated.
 
Event Description
It was reported that the alarm did not sound when a patient fell from the bed.The user facility performed their own evaluation and later met with a stryker field service technician.The user facility determined that there were no defects with the bed and believe the caregiver did not check all of the cables to make sure they were plugged in properly.Upon follow up with the user facility it was found that patient suffered a right femoral fracture and needed surgery to treat it.
 
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Brand Name
SECURE 3 MED/SURG BEDOBS 01/13
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
kelsey barla
3800 east centre avenue
portage, MI 49002
2693292100
MDR Report Key12823057
MDR Text Key280845081
Report Number0001831750-2021-01630
Device Sequence Number1
Product Code FNL
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type User Facility
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 01/31/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Catalogue Number3002S3EX
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 10/19/2021
Initial Date FDA Received11/16/2021
Supplement Dates Manufacturer Received10/19/2021
Supplement Dates FDA Received01/31/2022
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
Patient Outcome(s) Required Intervention; Other;
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