BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRIME ZOOM STRETCHER, 30" LITTER

    MDR report key: 2113556 · Received May 24, 2011

    Report

    Report Number
    1831750-2011-05015
    Event Type
    Malfunction
    Date Received
    May 24, 2011
    Date of Event
    April 26, 2011
    Report Date
    April 26, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    INK
    PMA / PMN Number
    K022309
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    EVAL RESULT: FOWLER, GAS SPRING TIP.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE HEAD OF THE STRETCHER WOULD NOT STAY UP. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    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