FDA Adverse Event
Malfunction
Summary report: N
SM 104 M-SERIES W/5TH WHL
MDR report key: 1506861
·
Received September 25, 2009
Report
- Report Number
- 1831750-2009-01292
- Event Type
- Malfunction
- Date Received
- September 25, 2009
- Date of Event
- August 5, 2009
- Report Date
- August 27, 2009
- Manufacturer
- STRYKER CORP, MEDICAL STRETCHER
- Product Code
- FPO
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SZ
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
NA
Description of Event or Problem · 1
IT WAS REPORTED, THE BRAKES WERE NOT FUNCTIONING TO SPECIFICATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SM 104 M-SERIES W/5TH WHL | HOSPITAL WHEELED STRETCHER | FPO | STRYKER CORP, MEDICAL STRETCHER | 1007 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |