BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM104 MSERIES W5TH WHL

    MDR report key: 1890468 · Received October 27, 2010

    Report

    Report Number
    1831750-2010-03300
    Event Type
    Malfunction
    Date Received
    October 27, 2010
    Date of Event
    September 30, 2010
    Report Date
    September 30, 2010
    Manufacturer
    STRYKER CORP., MEDICAL DIVISION
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE FOOT END JACK WOULD NOT STAY UP FOR LONG PERIODS OF TIME. IT WAS REPORTED THAT THERE WAS A PT INVOLVED, HOWEVER, THERE WERE NO ADVERSE CONSEQUENCES REPORTED AS A RESULT OF THIS ISSUE.

    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 UNK