BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM204 M-SERIES W/BIG WHEEL

    MDR report key: 1925748 · Received November 23, 2010

    Report

    Report Number
    1831750-2010-04157
    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
    VA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    EVAL: RELEASE LINKAGE.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SVC REPORT THAT THE FOOT JACK WAS DRIFTING DOWN. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SM204 M-SERIES W/BIG WHEEL HOSPITAL WHEELED STRETCHER FPO STRYKER CORP, MEDICAL DIV 1015 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA