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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO S3 PX4-3005; BED, AC-POWERED, ADJUSTABLE HOSPITAL

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STRYKER MEDICAL-KALAMAZOO S3 PX4-3005; BED, AC-POWERED, ADJUSTABLE HOSPITAL Back to Search Results
Model Number 3005
Device Problem No Audible Alarm (1019)
Patient Problems Fall (1848); Bone Fracture(s) (1870)
Event Date 10/27/2021
Event Type  Injury  
Event Description
It was reported that the bed did not alarm and a patient fell.The patient sustained a non-displaced fracture in their left femoral neck.As a result of the fracture, the patient had a left hip arthroplasty.Upon evaluation, no defect was identified with the bed.
 
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Brand Name
S3 PX4-3005
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
brandon luckas
3800 east centre avenue
portage, MI 49002
2693292100
MDR Report Key13501764
MDR Text Key285704019
Report Number0001831750-2022-00248
Device Sequence Number1
Product Code FNL
UDI-Device Identifier07613327278422
UDI-Public07613327278422
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
Report Date 02/09/2022
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 Model Number3005
Device Catalogue Number3005S3PX4
Was Device Available for Evaluation? Yes
Initial Date Manufacturer Received 01/26/2022
Initial Date FDA Received02/09/2022
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
Patient Outcome(s) Other;
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