BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM104 MSERIES W5TH WHL

    MDR report key: 1894645 · Received November 5, 2010

    Report

    Report Number
    1831750-2010-03401
    Event Type
    Malfunction
    Date Received
    November 5, 2010
    Date of Event
    October 11, 2010
    Report Date
    October 11, 2010
    Manufacturer
    STRYKER CORP, MEDICAL DIVISION
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SVC REPORT THAT THE PT LEFT SIDERAIL WAS BROKEN AND IT WOULD NOT HOLD IN THE UP POSITION. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES WERE 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