BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM104 M-SERIES W/5TH WHEEL

    MDR report key: 1925744 · Received November 23, 2010

    Report

    Report Number
    1831750-2010-04159
    Event Type
    Malfunction
    Date Received
    November 23, 2010
    Date of Event
    October 28, 2010
    Report Date
    October 28, 2010
    Manufacturer
    STRYKER CORP, MEDICAL DIV
    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 SVC REPORT THAT THE LATCH SPINDLE IS BROKEN. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SM104 M-SERIES W/5TH WHEEL HOSPITAL WHEELED STRETCHER FPO STRYKER CORP, MEDICAL DIV 1007 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA