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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 Alarm Not Visible (1022)
Patient Problems No Patient Involvement (2645); No Known Impact Or Consequence To Patient (2692)
Event Date 12/02/2017
Event Type  malfunction  
Manufacturer Narrative
This mdr is part of the malfunction summary reporting program, exemption number e2014007.The devices were evaluated in the field and the issue was confirmed.The devices had malfunctioned electrical components.There were no remedial actions taken.This device is not labeled for single use.
 
Event Description
This report summarizes 2 malfunction events, where it was reported the ibed awareness was not alarming.One event had no patient involvement.One event it was not known if there was 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
mary klaver
3800 east centre avenue
portage, MI 49002
2693292100
MDR Report Key7465694
MDR Text Key106872988
Report Number0001831750-2018-00431
Device Sequence Number1
Product Code FNL
UDI-Device Identifier07613327169232
UDI-Public(01)07613327169232
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported2
Summary Report (Y/N)Y
Report Source Manufacturer
Source Type company representative
Reporter Occupation Other
Type of Report Initial
Report Date 04/26/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this a Product Problem Report? Yes
Device Operator No Information
Device Model Number2141
Device Catalogue Number2141000000
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 04/01/2018
Initial Date FDA Received04/26/2018
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
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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