BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PROCEDURAL STRETCHER

    MDR report key: 2100125 · Received May 16, 2011

    Report

    Report Number
    3006697241-2011-00040
    Event Type
    Malfunction
    Date Received
    May 16, 2011
    Date of Event
    April 21, 2011
    Report Date
    April 21, 2011
    Manufacturer
    HILL-ROM DE MEXICO S DE RL DE CV
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN ADJUSTED THE CASTERS TO INCREASE BRAKE TENSION. HE INDICATED THAT WAX ON TILE FLOOR MAY BE PART OF THE ISSUE.

    Description of Event or Problem · 1

    INFORMATION RECEIVED INDICATES WHEN THE BRAKE IS SET, THE STRETCHER WILL MOVE SLIGHTLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PROCEDURAL STRETCHER WHEELED STRETCHER FPO HILL-ROM DE MEXICO S DE RL DE CV 8000

    Patients

    Seq Age Sex Outcome Treatment
    1