BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM204 M-SERIES W/BIG WHEEL

    MDR report key: 1964016 · Received January 12, 2011

    Report

    Report Number
    1831750-2011-00365
    Event Type
    Malfunction
    Date Received
    January 12, 2011
    Date of Event
    December 15, 2010
    Report Date
    December 15, 2010
    Manufacturer
    STRYKER CORP, MEDICAL DIV
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE FOWLER WAS STUCK AND WOULD NOT RAISE AND OR LOWER. THE FOWLER WOULD NOT RAISE AND OR LOWER WHEN TRYING TO USE ONE OR BOTH HANDLES. THERE WAS SOME FLUID LEAKING FROM THE CYLINDER ONTO THE STRETCHER SHROUD. ALSO, THE HEAD END JACK WAS DRIFTING. 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 SM204 M-SERIES W/BIG WHEEL HOSPITAL WHEELED STRETCHER FPO STRYKER CORP, MEDICAL DIV 1015 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK