FDA Adverse Event Malfunction Summary report: Y

PRIMEBIG WHEEL ELECT STRETCHER

MDR report key: 10001511 · Received April 27, 2020

Report

Report Number
0001831750-2020-00443
Event Type
Malfunction
Date Received
April 27, 2020
Date of Event
January 1, 2020
Report Date
July 14, 2020
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FPO
UDI-DI
07613327278217
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE WAS NOT EVALUATED AND NO CAUSE WAS DETERMINED, AS THE CUSTOMER DID NOT MAKE THE DEVICE ACCESSIBLE FOR TESTING.

Description of Event or Problem · 0

THIS REPORT SUMMARIZES <NOE> 1 </NOE> MALFUNCTION EVENT, WHERE IT WAS REPORTED THE UNIT TIPPED.  THERE WAS NO PATIENT INVOLVEMENT.

Additional Manufacturer Narrative · 1

THIS MDR IS A CONSOLIDATION OF RECORDS SUMMARIZED AS PART OF THE FDA VOLUNTARY MALFUNCTION SUMMARY REPORTING PROGRAM. THE DEVICE IS PENDING EVALUATION. THERE WAS NO REMEDIAL ACTION TAKEN. THIS DEVICE IS NOT LABELED FOR SINGLE USE.

Description of Event or Problem · 1

THIS REPORT SUMMARIZES <NOE> 1 </NOE> MALFUNCTION EVENT, WHERE IT WAS REPORTED THE UNIT TIPPED.  THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
465544 PRIMEBIG WHEEL ELECT STRETCHER STRETCHER, WHEELED FPO STRYKER MEDICAL-KALAMAZOO 1115 07613327278217

Patients

Seq Age Sex Outcome Treatment
1