BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM304 M-SERIES W/ZOOM

    MDR report key: 1925773 · Received November 23, 2010

    Report

    Report Number
    1831750-2010-04174
    Event Type
    Malfunction
    Date Received
    November 23, 2010
    Date of Event
    November 1, 2010
    Report Date
    November 1, 2010
    Manufacturer
    STRYKER CORP, MEDICAL DIV
    Product Code
    INK
    PMA / PMN Number
    K022309
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    EVAL: HANDLE.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SVC REPORT THAT THE ZOOM STRETCHER NOT WORKING. THE ZOOM HANDLE IS BROKEN, THE HEAD END COVER DAMAGED AND THE SIDE RAIL LATCH IS BROKEN. IT IS UNK IF THERE WAS PT INVOLVEMENT; HOWEVER, NO ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK