FDA Adverse Event
Malfunction
Summary report: N
5TH WHEEL
MDR report key: 1507406
·
Received October 2, 2009
Report
- Report Number
- 1831750-2009-01346
- 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 | WHEELED HOSPITAL STRETCHER | FPO | STRYKER CORP MEDICAL DIVISION | 0753 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |