BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM104 M-SERIES W/5TH WHEEL

    MDR report key: 1850058 · Received September 27, 2010

    Report

    Report Number
    1831750-2010-02583
    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
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE STRETCHER WAS LEAKING HYDRAULIC FLUID AT THE FOOT END HYDRAULIC LIFT JACK. THE USER FACILITY WAS UNABLE TO PROVIDE ANY INFO AS TO WHETHER THERE WAS PT INVOLVEMENT. HOWEVER, IT WAS REPORTED THAT THERE WERE NO ADVERSE CONSEQUENCES ASSOCIATED WITH THE REPORTED ISSUE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SM104 M-SERIES W/5TH WHEEL HOSPITAL WHEELED STRETCHER FPO STRYKER CORP, MEDICAL DIVISION 1007 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA