FDA Adverse Event Malfunction Summary report: N

HYDRAULIC GURNEY WITH STRETCHER AND MATTRESS

MDR report key: 2093552 · Received April 5, 2011

Report

Report Number
2020676-2011-00003
Event Type
Malfunction
Date Received
April 5, 2011
Date of Event
March 8, 2011
Report Date
April 5, 2011
Manufacturer
SECHRIST INDUSTRIES, INC.
Product Code
FPO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MX
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE IS EXEMPT FROM 510(K) UNDER 21 CFR PART 880. MANUFACTURER IS AWAITING RETURN OF PARTS FOR EVALUATION TO DETERMINE ROOT CAUSE. AWAITING FURTHER INFORMATION ON REPORTED USER INJURIES. WILL PROVIDE UPDATE OF DEVICE EVALUATION AND USER INJURY WHEN IT BECOMES AVAILABLE.

Description of Event or Problem · 1

CUSTOMER REPORTS DIFFICULTY IN MOVING STRETCHER IN AND OUT OF HYPER BARIC CHAMBER WITH PATIENT ON STRETCHER. COMPLAINT OF INJURY ASSOCIATED WITH EFFORT REQUIRED TO MOVE THE STRETCHER WITH PATIENT. THE STRETCHER IS A COMPONENT OF THE HYDRAULIC GURNEY. THE PATIENT RESTS ON A MATTRESS PLACED OVER THE STRETCHER PLATE. THE STRETCHER PLATE WHEELS RIDES ON RAILS THAT ALLOWS THE STRETCHER PLATE AND PATIENT TO BE MOVED INTO AND OUT OF A HYPERBARIC CHAMBER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HYDRAULIC GURNEY WITH STRETCHER AND MATTRESS HYDRAULIC GURNEY FPO SECHRIST INDUSTRIES, INC. 21465-01

Patients

Seq Age Sex Outcome Treatment
1