BEUDAMED
    FDA Adverse Event Other Summary report: N

    SM204 M-SERIES W/BIG WHEEL

    MDR report key: 1940926 · Received December 17, 2010

    Report

    Report Number
    1831750-2010-05014
    Event Type
    Other
    Date Received
    December 17, 2010
    Date of Event
    November 18, 2010
    Report Date
    November 18, 2010
    Manufacturer
    STRYKER CORP., MEDICAL DIV.
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    UPON EVALUATION BY A STRYKER REP, IT WAS IDENTIFIED THE O2 BOTTLE WAS OUT OF ITS DESIGNATED HOLDER AND THE LITTER WAS SITTING ON THE O2 BOTTLE AND WEDGED UP AGAINST THE TRIP FOR THE FOWLER CABLE AND DID NOT ALLOW THE FOWLER CABLE TO MOVE AND FUNCTION. NO PRODUCT MALFUNCTION.

    Description of Event or Problem · 1

    IT WAS REPORTED IN A SERVICE REPORT, THE FOWLER WILL NOT GO UP OR 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 UNK