BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM304 M-SERIES W/ZOOM

    MDR report key: 1850012 · Received September 27, 2010

    Report

    Report Number
    1831750-2010-02588
    Event Type
    Malfunction
    Date Received
    September 27, 2010
    Date of Event
    September 2, 2010
    Report Date
    September 2, 2010
    Manufacturer
    STRYKER CORP. MEDICAL DIVISION
    Product Code
    INK
    PMA / PMN Number
    K022309
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE STRETCHER HAS ONE PEDAL WAS MISSING AND THE OTHER PEDAL DOES NOT ENGAGE DRIVE OR BRAKE. THERE WAS NO PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCE REPORTED.

    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 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA