MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-11-08 for CUB PEDIATRIC CRIB- FIXED BASE FL19F manufactured by Stryker Medical-kalamazoo.
[126632355]
It was reported that a young patient fell out of a crib and sustained injuries to the face and head. The patient underwent a ct following the alleged incident.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 0001831750-2018-01426 |
| MDR Report Key | 8053429 |
| Date Received | 2018-11-08 |
| Date of Report | 2019-01-07 |
| Date of Event | 2018-10-11 |
| Date Mfgr Received | 2018-10-11 |
| Date Added to Maude | 2018-11-08 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. BRIAN THOMPSON |
| Manufacturer Street | 3800 EAST CENTRE AVENUE |
| Manufacturer City | PORTAGE MI 49002 |
| Manufacturer Country | US |
| Manufacturer Postal | 49002 |
| Manufacturer Phone | 2693292100 |
| Manufacturer G1 | STRYKER MEDICAL-KALAMAZOO |
| Manufacturer Street | 3800 EAST CENTRE AVENUE |
| Manufacturer City | PORTAGE MI 49002 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 49002 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | CUB PEDIATRIC CRIB- FIXED BASE |
| Generic Name | BED, PEDIATRIC OPEN HOSPITAL |
| Product Code | FMS |
| Date Received | 2018-11-08 |
| Catalog Number | FL19F |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | STRYKER MEDICAL-KALAMAZOO |
| Manufacturer Address | 3800 EAST CENTRE AVENUE PORTAGE MI 49002 US 49002 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-11-08 |