BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM104 MSERIES W5TH WHL

    MDR report key: 1800621 · Received August 3, 2010

    Report

    Report Number
    1831750-2010-01704
    Event Type
    Malfunction
    Date Received
    August 3, 2010
    Date of Event
    July 12, 2010
    Report Date
    July 12, 2010
    Manufacturer
    STRYKER CORP, MEDICAL DIV
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED IN (B)(4) THAT THE FOOT JACK WAS STUCK IN HIGH HEIGHT. NO ADVERSE CONSEQUENCES WERE ALLEGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SM104 MSERIES W5TH WHL HOSPITAL WHEELED STRETCHER FPO STRYKER CORP, MEDICAL DIV 1005 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA