FDA Adverse Event
Other
Summary report: N
UNKNOWN
MDR report key: 2121974
·
Received June 3, 2011
Report
- Report Number
- 1831750-2011-05479
- Event Type
- Other
- Date Received
- June 3, 2011
- Date of Event
- May 6, 2011
- Report Date
- May 6, 2011
- Manufacturer
- STRYKER MEDICAL
- Product Code
- FPO
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE USER FACILITY WAS UNABLE TO IDENTIFY THE STRETCHER MODEL/SERIAL NUMBER IN USE AT THE TIME OF THIS EVENT. THE 10-12 STRETCHERS WERE INSPECTED. CODING REFLECTS THE EVAL FINDINGS FOR THESE STRETCHERS. IF ANY FURTHER INFO IS OBTAINED RELATED TO THIS EVENT, A F/U MEDWATCH REPORT WILL BE SUBMITTED.
Description of Event or Problem · 1
IT HAS BEEN REPORTED BY THE USER FACILITY THAT A MATTRESS SLID OFF OF A STRETCHER RESULTING IN A PT FALL. IT WAS REPORTED THAT THERE WAS NO INJURY TO THE PT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | UNKNOWN | HOSPITAL WHEELED STRETCHER | FPO | STRYKER MEDICAL | UNK | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |