MAUDE Adverse Event Report: STRYKER SECURE III; BED, AC-POWERED ADJUSTABLE HOSPITAL

Model Number STRYKER SECURE-ILL 500LB

Device Problem Crack (1135)

Patient Problem Insufficient Information (4580)

Event Date 05/15/2017

Event Type  Injury  

Event Description

Describe exactly what was witnessed or reported: at the the patient head and was on the foot transport of the across headboard.The hospital facility with states someone the from headboard the was transport cracked,tea m the but does patient not the know headboard whether did it was not have prior to any transport leverage or causing during the transport.Employee while on the moving injured.Transport (b)(4).This report reflects information received by fda in the form of a notification per 803.22 (b)(2).

• Brand Name: SECURE III
• Type of Device: BED, AC-POWERED ADJUSTABLE HOSPITAL
• Manufacturer (Section D): STRYKER
• MDR Report Key: 17532793
• MDR Text Key: 321144419
• Report Number: MW5139700
• Device Sequence Number: 1
• Product Code: FNL
• Combination Product (y/n): N
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Voluntary
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 05/19/2017

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 08/12/2023
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: No
• Device Model Number: STRYKER SECURE-ILL 500LB
• Patient Sequence Number: 1