BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STRYKER CORPORATION

    MDR report key: 119160 · Received September 9, 1997

    Report

    Report Number
    1831750-1997-00014
    Event Type
    Malfunction
    Date Received
    September 9, 1997
    Date of Event
    August 13, 1997
    Report Date
    August 25, 1997
    Manufacturer
    *
    Product Code
    FPO
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    LA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE RIGHT WHEEL CASTER BOLT BROKE IN HALF CAUSING THE WHEEL TO COME OFF AT THE HEAD OF THE STRETCHER. THE STRETCHER ROLLED OVER TO RIGHT SIDE LEANING THE PT INTO THE RIGHT SIDERAIL WHICH HAD BEEN IN THE UPRIGHT POSITION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRYKER CORPORATION STRETCHER FPO * UNK PATENT # 3304116

    Patients

    Seq Age Sex Outcome Treatment
    1 51 YR Other