BEUDAMED
    FDA Adverse Event Other Summary report: N

    PRIME ZOOM STRETCHER, 30"LITTER

    MDR report key: 2090857 · Received May 5, 2011

    Report

    Report Number
    1831750-2011-04329
    Event Type
    Other
    Date Received
    May 5, 2011
    Date of Event
    April 5, 2011
    Report Date
    April 6, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    INK
    PMA / PMN Number
    K022309
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE FACILITY CURRENTLY CANNOT DETERMINE WHICH SERIAL NUMBER WAS ALLEGEDLY INVOLVED.

    Description of Event or Problem · 1

    IT WAS REPORTED A CAREGIVER INJURY OCCURRED REPORTEDLY DUE TO THE PRIME ZOOM STRETCHER BRAKING SYSTEM. PT WAS ON STRETCHER (NO DETAILS ON PT), THE NURSE WENT TO ACTIVATE FOOT PEDAL (HAPPENED BOTH BRAKE/NEUTRAL->STEER AND STEER/NEUTRAL->BRAKE). THE CAREGIVER ALLEGES THE APPROACH ANGLE WAS AWKWARD AND CAUSES HYPEREXTENSION OF KNEE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRIME ZOOM STRETCHER, 30"LITTER WHEELED POWERED STRETCHER INK STRYKER MEDICAL 1125000030 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK