MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO PROCUITY BED; BED, AC POWERED ADJUSTABLE

Model Number 300900000000

Device Problem Intermittent Loss of Power (4016)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Date 10/01/2022

Event Type  malfunction  

Manufacturer Narrative

This record is a consolidation of records summarized as part of the fda voluntary malfunction summary reporting program.1 device was functionally/visually inspected in the field.The device was repaired and returned to use.There was no remedial action taken.This device is not labeled for single use.

Event Description

This report summarizes 1 malfunction event, where it was reported the device experienced zoom suddenly stops.There was no patient involvement.

Event Description

This report summarizes 0 malfunction event, where it was reported the device experienced zoom suddenly stops.There was no patient involvement.

Manufacturer Narrative

The device that was pending was evaluated and it was determined the device experienced no zoom power/drive function, which is not reportable.Because of this, the number of reported events has been changed from 1 to 0.

• Brand Name: PROCUITY BED
• Type of Device: BED, AC POWERED ADJUSTABLE
• 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 Key: 15669029
• MDR Text Key: 304616768
• Report Number: 0001831750-2022-01095
• Device Sequence Number: 1
• Product Code: FNL
• UDI-Device Identifier: 07613327512656
• UDI-Public: 07613327512656
• Combination Product (y/n): N
• Reporter Country Code: US
• Summary Report (Y/N): Y
• Report Source: Manufacturer
• Source Type: Company Representative
• Reporter Occupation: Other
• Type of Report: Initial,Followup
• Report Date: 12/02/2022

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 10/25/2022
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Model Number: 300900000000
• Device Catalogue Number: 300900000000
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: No
• Date Manufacturer Received: 10/01/2022
• 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 Number: 1