BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM304 M-SERIES W/ZOOM

    MDR report key: 1974583 · Received December 29, 2010

    Report

    Report Number
    1831750-2010-05273
    Event Type
    Malfunction
    Date Received
    December 29, 2010
    Date of Event
    November 12, 2010
    Report Date
    November 12, 2010
    Manufacturer
    STRYKER CORP., MEDICAL DIV.
    Product Code
    FNL
    PMA / PMN Number
    K022309
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT WHEN THE TRIGGER IS PRESSED ON THE ZOOM HANDLE, THE ZOOM STARTS TO MOVE WITHOUT THE HANDLE BEING PUSHED FORWARD OR BACKWARD. 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 SM304 M-SERIES W/ZOOM STRETCHER, WHEELED, POWERED FNL STRYKER CORP., MEDICAL DIV. 1025 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK