BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM104 MSERIES W5TH WHL

    MDR report key: 1875004 · Received October 13, 2010

    Report

    Report Number
    1831750-2010-02819
    Event Type
    Malfunction
    Date Received
    October 13, 2010
    Date of Event
    September 16, 2010
    Report Date
    September 16, 2010
    Manufacturer
    STRYKER CORP. MEDICAL DIVISION
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE LEFT SIDE RAIL WOULD NOT LATCH. THERE WAS NO PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCE 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