FDA Adverse Event Malfunction Summary report: N

SM304 M-SERIES W/ZOOM

MDR report key: 1925524 · Received November 23, 2010

Report

Report Number
1831750-2010-04155
Event Type
Malfunction
Date Received
November 23, 2010
Date of Event
October 27, 2010
Report Date
October 27, 2010
Manufacturer
STRYKER CORP, MEDICAL DIV
Product Code
INK
PMA / PMN Number
K022309
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

IT WAS REPORTED BY SVC REPORT THAT THE STRETCHER LEFT SIDE RAIL SPINDLE WAS BROKEN IN HALF. IT WAS ALSO REPORTED THAT THE SIDE RAIL WAS BEING SLAMMED UP. IT IS UNK IF THERE WAS PT INVOLVEMENT OR IF THERE ARE ADVERSE CONSEQUENCES TO REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SM304 M-SERIES W/ZOOM STRETCHER, WHEELED, POWERED INK STRYKER CORP, MEDICAL DIV 1025 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK