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

Model Number	521200380100
Medical Device Problem Code	Electrical /Electronic Property Problem (1198)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	10/01/2021
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
This record is a consolidation of records summarized as part of the fda voluntary malfunction summary reporting program.10 devices were functionally/visually inspected in the field.The devices were repaired and returned to use.1 device was not evaluated, as the issue was identified and resolved during a troubleshooting call between the customer and stryker technical support.16 devices were not evaluated and no cause was determined, as the customers did not make the devices accessible for testing.13 devices are pending evaluation.There was no remedial action taken.This device is not labeled for single use.
Event or Problem Description
This report summarizes 40 malfunction events, where it was reported the devices experienced accessible ac current.There was no patient involvement.
Event or Problem Description
This report summarizes 40 malfunction events, where it was reported the devices experienced accessible ac current.There was no patient involvement.
Additional Manufacturer Narrative
9 of the devices were not evaluated, as the issue was identified and resolved via communications/interviews with the user.3 of the devices were not evaluated, as the reported issue was confirmed via analysis of data provided by the user.The final device that was pending evaluation was not made available by the customer; the reported issue was not confirmed.

• Brand Name: SECURE CONNECT LOCATOR
• Common Device Name: 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: melanie shepard ; 3800 east centre avenue; portage, MI 49002 ; 2693292100
• MDR Report Key: 13306771
• Report Number: 0001831750-2022-00207
• Device Sequence Number: 20074807
• Product Code: FNL
• UDI-Device Identifier: 07613327520453
• UDI-Public: 07613327520453
• Combination Product (Y/N): N
• Initial Reporter State: MI
• Initial Reporter Country: US
• Number of Events Summarized: 40
• Summary Report (Y/N): Y
• Reporter Type: Manufacturer
• Report Source: Company Representative
• Initial Reporter Occupation: Other
• Type of Report: Initial,Followup
• Report Date (Section B): 02/22/2022

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 Model Number: 521200380100
• Device Catalogue Number: 521200380100
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Follow-Up
• Initial Date Received by Manufacturer: 01/01/2022
• Supplement Date Received by Manufacturer: 01/01/2022
• Initial Report FDA Received Date: 01/20/2022
• Supplement Report FDA Received Date: 02/22/2022
• Was Device Evaluated by Manufacturer? (Y/N): No
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Patient Sex: Unknown