BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM204 M-SERIES W/BIG WHEEL

    MDR report key: 1941167 · Received December 8, 2010

    Report

    Report Number
    1831750-2010-04621
    Event Type
    Malfunction
    Date Received
    December 8, 2010
    Date of Event
    November 11, 2010
    Report Date
    November 11, 2010
    Manufacturer
    STRYKER CORP., MEDICAL DIVISION
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MS, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE BRAKE ON BIG WHEEL STRETCHER DOESN'T HOLD. FOUND FOOT END BRAKE BAR RIGHT ON RIGHT SIDE BENT UP JUST SLIGHTLY, AND WAS NOT HOLDING. THERE WAS PATIENT INVOLVEMENT, HOWEVER NO 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 DIVISION 1015 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK