FDA Adverse Event Other Summary report: N

SM204 M-SERIES W/BIG WHEEL

MDR report key: 1426300 · Received July 30, 2009

Report

Report Number
1831750-2009-00627
Event Type
Other
Date Received
July 30, 2009
Date of Event
June 29, 2009
Report Date
July 1, 2009
Manufacturer
STRYKER CORP., MEDICAL DIV.
Product Code
FPO
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE OPERATIONS MANUAL STATES THE FOLLOWING REGARDING POWER-WASHING THE STRETCHER: "REMOVE THE MATTRESS PRIOR TO WASHING THE UNIT; DO NOT WASH THE MATTRESS WITH THE STRETCHER." THE MATTRESS WAS NOT RETURNED TO THE MANUFACTURER FOR EVAL DUE TO BIOCONTAMINATION. THE SPECIFIC SERIAL NUMBER OF THE STRETCHER INVOLVED IN THE REPORTED INCIDENT COULD NOT BE IDENTIFIED BY THE CUSTOMER, HOWEVER, THE MATTRESS SERIAL NUMBER WAS REPORTED.

Description of Event or Problem · 1

IT WAS REPORTED BODILY FLUIDS FROM A PT SOAKED THROUGH THE MATTRESS OF A STRETCHER. IT WAS REPORTED THE HOSPITAL HOSED DOWN AND CLEANED THE STRETCHER TWICE BEFORE PUTTING BACK INTO SERVICE. IT WAS THEN REPORTED WHEN THE NEXT PT SAT ON THE MATTRESS, BODILY FLUIDS SEEPED THROUGH THE MATTRESS AND ONTO THE PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SM204 M-SERIES W/BIG WHEEL HOSPITAL WHEELED STRETCHER FPO STRYKER CORP., MEDICAL DIV. 1015 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK Other