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 |