BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM204 M-SERIES W/BIG WHEEL

    MDR report key: 1974070 · Received December 28, 2010

    Report

    Report Number
    1831750-2010-05229
    Event Type
    Malfunction
    Date Received
    December 28, 2010
    Date of Event
    November 30, 2010
    Report Date
    November 30, 2010
    Manufacturer
    STRYKER CORP., MEDICAL DIVISION
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE PATIENT LEFT SIDERAIL END OF TOP RAIL CRACKED/BROKEN. NO PATIENT 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 DIVISION 1015 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA