BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TRANSTAR

    MDR report key: 1883691 · Received October 15, 2010

    Report

    Report Number
    1883691
    Event Type
    Malfunction
    Date Received
    October 15, 2010
    Date of Event
    October 10, 2010
    Report Date
    October 15, 2010
    Manufacturer
    HILL-ROM
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US

    Narratives

    Description of Event or Problem · 1

    PATIENT WAS ON STRETCHER IN RADIOLOGY WHEN THE FRONT WHEEL BROKE AND THE PATIENT FELL TO THE SIDE. TWO STEEL WELDS FAILED AND BROKE.====================== MANUFACTURER RESPONSE FOR STRETCHER, TRANSTAR======================THE MANUFACTURER WOULD REIMBURSE FOR REPAIRS

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TRANSTAR STRETCHER FPO HILL-ROM * *

    Patients

    Seq Age Sex Outcome Treatment
    1 22 YR