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U.S. Department of Health and Human Services

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

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STRYKER MEDICAL-KALAMAZOO SECURE CONNECT LOCATOR; BED, AC-POWERED ADJUSTABLE HOSPITAL Back to Search Results
Catalog 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 01/01/2024
Type of Reportable Event Malfunction
Event or Problem Description
This report summarizes 9 malfunction events, where it was reported the devices experienced accessible ac current.There was no patient involvement.
 
Additional Manufacturer Narrative
This record is a consolidation of records summarized as part of the fda voluntary malfunction summary reporting program.9 devices are pending evaluation.There was no remedial action taken.This device is not labeled for single use.
 
Additional Manufacturer Narrative
1 device that was pending evaluation was not made available by the customer; the reported issue was not confirmed.Section h codes have been updated to reflect this.8 devices are still pending evaluation.
 
Event or Problem Description
This report summarizes 9 malfunction events, where it was reported the devices experienced accessible ac current.There was no patient involvement.
 
Additional Manufacturer Narrative
The 8 pending devicea were not evaluated, as the issue was identified and resolved through communication/interviews with the user facility; the issue was confirmed.Section h codes have been updated.
 
Event or Problem Description
This report summarizes 9 malfunction events, where it was reported the devices experienced accessible ac current.There was no patient involvement.
 
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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
melissa simon
3800 east centre avenue
portage, MI 49002
2693292100
MDR Report Key19163125
Report Number0001831750-2024-00634
Device Sequence Number18127165
Product Code FNL
UDI-Device Identifier07613327520453
UDI-Public07613327520453
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
Number of Events Summarized9
Summary Report (Y/N)Y
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup,Followup
Report Date (Section B) 08/07/2024
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 Catalogue Number521200380100
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 04/01/2024
Supplement Date Received by Manufacturer04/01/2024
04/01/2024
Initial Report FDA Received Date04/23/2024
Supplement Report FDA Received Date07/02/2024
08/07/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
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 Number1
Patient SexUnknown
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