FDA Adverse Event
Malfunction
Summary report: N
SM104 MSERIES W5TH WHL
MDR report key: 1853105
·
Received September 21, 2010
Report
- Report Number
- 1831750-2010-02511
- Event Type
- Malfunction
- Date Received
- September 21, 2010
- Date of Event
- August 25, 2010
- Report Date
- August 25, 2010
- Manufacturer
- STRYKER CORP, MEDICAL DIVISION
- Product Code
- FPO
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
IT WAS REPORTED BY SVC REPORT THAT THE PT LEFT TOP RAIL WAS BROKEN AT THE LATCH SPINDLE. NO ADVERSE CONSEQUENCES HAVE BEEN REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SM104 MSERIES W5TH WHL | HOSPITAL WHEELED STRETCHER | FPO | STRYKER CORP, MEDICAL DIVISION | 1005 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |