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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO LTC MED SURG BED; BED, AC-POWERED ADJUSTABLE HOSPITAL

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STRYKER MEDICAL-KALAMAZOO LTC MED SURG BED; BED, AC-POWERED ADJUSTABLE HOSPITAL Back to Search Results
Catalog Number FL14E1
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Bruise/Contusion (1754); Laceration(s) (1946)
Event Date 10/09/2017
Event Type  Injury  
Event Description
It was reported that a patient was found with their foot entrapped in the siderail (zone 2).The patient alleged sustained a small laceration and bruising to the right foot, and was treated with tylenol.The unit was being used with a non-stryker foam mattress.
 
Manufacturer Narrative
The customer declined to have stryker evaluate the unit, as they had performed their own evaluation of the product and found no malfunction or defect.It was confirmed that no further action was required.
 
Event Description
It was reported that a patient was found with their foot entrapped in the siderail (zone 2).The patient alleged sustained a small laceration and bruising to the right foot, and was treated with tylenol.The unit was being used with a non-stryker foam mattress.
 
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Brand Name
LTC MED SURG BED
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
mary klaver
3800 east centre avenue
portage, MI 49002
2693292100
MDR Report Key7139117
MDR Text Key95524867
Report Number0001831750-2017-00596
Device Sequence Number1
Product Code FNL
Combination Product (y/n)N
Reporter Country CodeCA
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 08/03/2018
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? No
Device Operator No Information
Device Catalogue NumberFL14E1
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 11/29/2017
Initial Date FDA Received12/21/2017
Supplement Dates Manufacturer Received11/29/2017
Supplement Dates FDA Received08/03/2018
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) Other;
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