BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM104 MSERIES W5TH WHL

    MDR report key: 1830064 · Received September 7, 2010

    Report

    Report Number
    1831750-2010-02116
    Event Type
    Malfunction
    Date Received
    September 7, 2010
    Date of Event
    August 13, 2010
    Report Date
    August 13, 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 A SERVICE REPORT THAT THE BRAKES WERE NOT HOLDING. IT WAS REPORTED THAT THERE WAS NO PATIENT INVOLVEMENT, AND THERE WERE NO ADVERSE CONSEQUENCES ASSOCIATED WITH THE REPORTED ISSUE.

    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