BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM104 M-SERIES W/5TH WHEEL

    MDR report key: 1851306 · Received September 22, 2010

    Report

    Report Number
    1831750-2010-02525
    Event Type
    Malfunction
    Date Received
    September 22, 2010
    Date of Event
    August 26, 2010
    Report Date
    August 27, 2010
    Manufacturer
    STRYKER CORP, MEDICAL DIVISION
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SZ
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE STRETCHER DELIVERED TO THE DISTRIBUTOR WITH DAMAGED BRAKE RINGS. THERE WAS NO PT INVOLVEMENT AND NO ADVERSE CONSEQUENCES WERE REPORTED.

    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