FDA Adverse Event
Malfunction
Summary report: N
SM304 M-SERIES W/ZOOM
MDR report key: 1760087
·
Received July 9, 2010
Report
- Report Number
- 1831750-2010-01479
- Event Type
- Malfunction
- Date Received
- July 9, 2010
- Date of Event
- June 30, 2010
- Report Date
- June 30, 2010
- Manufacturer
- STRYKER CORP., MEDICAL DIVISION
- Product Code
- INK
- PMA / PMN Number
- K022309
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
RESULT: DAMPNER.
Description of Event or Problem · 1
IT WAS REPORTED IN (B)(4) THAT THERE IS OIL LEAKING FROM THE STRETCHER. NO ADVERSE CONSEQUENCES ALLEGED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SM304 M-SERIES W/ZOOM | WHEELED POWERED STRETCHER | INK | STRYKER CORP., MEDICAL DIVISION | 1025 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |