BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PROCEDURAL STRETCHER

    MDR report key: 1895005 · Received November 2, 2010

    Report

    Report Number
    3006697241-2010-00038
    Event Type
    Malfunction
    Date Received
    November 2, 2010
    Date of Event
    October 7, 2010
    Report Date
    October 7, 2010
    Manufacturer
    HILL-ROM DE MEXICO S DE RL DE CV
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN FOUND THE SIDERAIL END TUBE WAS BENT AND CAME APART FROM THE TOP RAIL. THE TECHNICIAN REPLACED SIDERAIL END TUBE AND RIVET TO REPAIR THE STRETCHER.

    Description of Event or Problem · 1

    INFORMATION RECEIVED INDICATES THE RIGHT SIDERAIL WILL NOT LATCH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PROCEDURAL STRETCHER WHEELED STRETCHER FPO HILL-ROM DE MEXICO S DE RL DE CV 8000

    Patients

    Seq Age Sex Outcome Treatment
    1