BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    5TH WHEEL

    MDR report key: 1507402 · Received October 2, 2009

    Report

    Report Number
    1831750-2009-01350
    Event Type
    Malfunction
    Date Received
    October 2, 2009
    Date of Event
    August 28, 2009
    Report Date
    September 7, 2009
    Manufacturer
    STRYKER CORP MEDICAL DIVISION
    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 THAT THE BRAKES WERE NOT PERFORMING TO SPEC. NO ADVERSE CONSEQUENCE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 5TH WHEEL HOSPITAL WHEELED STRETCHER FPO STRYKER CORP MEDICAL DIVISION 0753 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA