BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HEAD/NECK 24 STRETCH

    MDR report key: 2073024 · Received April 21, 2011

    Report

    Report Number
    1831750-2011-03911
    Event Type
    Malfunction
    Date Received
    April 21, 2011
    Date of Event
    March 28, 2011
    Report Date
    March 28, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    I.V. POLE.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE IV POLE SUPPORT IS BROKEN. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEAD/NECK 24 STRETCH HOSPITAL WHEELED STRETCHER FPO STRYKER MEDICAL 1067 NA

    Patients

    Seq Age Sex Outcome Treatment
    1