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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO CUB PEDIATRIC CRIB- HYD BASE; BED, PEDIATRIC, OPEN HOSPITAL

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STRYKER MEDICAL-KALAMAZOO CUB PEDIATRIC CRIB- HYD BASE; BED, PEDIATRIC, OPEN HOSPITAL Back to Search Results
Model Number FL19H
Device Problem Positioning Failure (1158)
Patient Problems No Patient Involvement (2645); No Clinical Signs, Symptoms or Conditions (4582)
Event Date 04/01/2020
Event Type  malfunction  
Manufacturer Narrative
This mdr is a consolidation of records summarized as part of the fda voluntary malfunction summary reporting program.The devices were evaluated in the field and the issue was confirmed; 4 devices had broken/damaged components, 5 devices had alignment issues, and 1 device had a bent component.The devices were repaired and returned.1 device is pending evaluation.There was no remedial action taken.This device is not labeled for single use.
 
Event Description
This report summarizes 11 malfunction events, where it was reported the siderail couldn't latch or was stuck.There was no patient involvement.
 
Manufacturer Narrative
The final device was evaluated in the field and it was determined the issue was incorrectly reported; the issue was found to be a railing that was stuck in an upright position.B5 has been updated to reflect one fewer event experiencing the reportable issue.
 
Event Description
This report summarizes 10 malfunction events, where it was reported the siderail couldn't latch or was stuck.There was no patient involvement.
 
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Brand Name
CUB PEDIATRIC CRIB- HYD BASE
Type of Device
BED, PEDIATRIC, OPEN HOSPITAL
Manufacturer (Section D)
STRYKER MEDICAL-KALAMAZOO
3800 east centre avenue
portage MI 49002
MDR Report Key10325664
MDR Text Key200398308
Report Number0001831750-2020-00866
Device Sequence Number1
Product Code FMS
UDI-Device Identifier07613327169348
UDI-Public07613327169348
Combination Product (y/n)N
Number of Events Reported10
Summary Report (Y/N)Y
Report Source Manufacturer
Source Type company representative
Type of Report Initial,Followup
Report Date 10/07/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator No Information
Device Model NumberFL19H
Device Catalogue NumberFL19H
Was Device Available for Evaluation? Yes
Initial Date Manufacturer Received 07/01/2020
Initial Date FDA Received07/27/2020
Supplement Dates Manufacturer Received07/01/2020
Supplement Dates FDA Received10/07/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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