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U.S. Department of Health and Human Services

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

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STRYKER MEDICAL-KALAMAZOO UNKNOWN_MEDICAL_PRODUCT; BED, AC-POWERED ADJUSTABLE HOSPITAL Back to Search Results
Catalog Number UNK_MED
Device Problem No Audible Alarm (1019)
Patient Problems Fall (1848); Bone Fracture(s) (1870); Head Injury (1879)
Event Date 05/01/2021
Event Type  malfunction  
Event Description
It was reported that a patient fell from the bed and the alarm did not sound at the nurse station.It was further reported that the patient sustained a head injury and passed away while being taken for a ct scan.The user facility did not provide a model or serial number and attempts are being made to gather more details regarding the patient death.
 
Manufacturer Narrative
It was initially reported that a patient passed away as a result of a fall.Upon follow up from the user facility it was found that the death was unrelated to the fall and the only adverse consequence that the patient suffered was a nondisplaced fracture.The user facility stated this fracture would not have required any treatment.Section b5 has been updated to reflect this.The user facility performed their own device evaluation and require no further action from stryker.H3 other text : user facility performed the device evaluation and required no further action.
 
Event Description
It was reported that a patient fell from the bed and the alarm did not sound at the nurse station.It was further reported that while being taken for a ct scan the patient passed away.Upon follow up with the user facility it was confirmed that the death was unrelated to the fall and that the only adverse consequence related to the fall was a nondisplaced fracture, which would not have required medical treatment.The user facility performed their own device evaluation and repairs and require no further action from stryker.
 
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Brand Name
UNKNOWN_MEDICAL_PRODUCT
Type of Device
BED, AC-POWERED ADJUSTABLE HOSPITAL
Manufacturer (Section D)
STRYKER MEDICAL-KALAMAZOO
3800 east centre avenue
portage MI 49002
MDR Report Key11940893
MDR Text Key254328643
Report Number0001831750-2021-00938
Device Sequence Number1
Product Code FNL
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type user facility
Type of Report Initial,Followup
Report Date 08/02/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/04/2021
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator No Information
Device Catalogue NumberUNK_MED
Was Device Available for Evaluation? Yes
Date Manufacturer Received05/12/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Death;
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