BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STRETCHER

    MDR report key: 18193059 · Received November 21, 2023

    Report

    Report Number
    MW5148390
    Event Type
    Malfunction
    Date Received
    November 21, 2023
    Report Date
    November 19, 2023
    Manufacturer
    MEDLINE INDUSTRIES, LP - NORTHFIELD
    Product Code
    NZD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    UNKNOWN
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    (B)(6) WAS NOTIFIED OF A POTENTIALLY REPORTABLE COMPLAINT INVOLVING A PRODUCT FOR WHICH (B)(6) IS NOT THE ORIGINAL EQUIPMENT MANUFACTURER OF THE REPORTED DEVICE. THE CUSTOMER ALLEGED A MANUFACTURER STAXI CHAIR, SERIAL NUMBER (B)(6) THAT HAD A FOOTREST THAT WOULD NOT SUPPORT WEIGHT. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1498141 STRETCHER STRETCHER, PATIENT RESTRAINT NZD MEDLINE INDUSTRIES, LP - NORTHFIELD

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown