FDA Adverse Event
Malfunction
Summary report: N
30" TRANSPORT
MDR report key: 1933105
·
Received December 13, 2010
Report
- Report Number
- 1831750-2010-04767
- Event Type
- Malfunction
- Date Received
- December 13, 2010
- Date of Event
- November 16, 2010
- Report Date
- January 16, 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 SIDE RAIL WILL NOT LOCK IN PLACE. INSPECTION SHOWED THE SIDE RAIL SPINDLE INSERT 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 | 30" TRANSPORT | HOSPITAL WHEELED STRETCHER | FPO | STRYKER CORP., MEDICAL DIV. | 1004 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |