BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ST104 TRANSPORT

    MDR report key: 2133187 · Received May 4, 2011

    Report

    Report Number
    1831750-2011-04317
    Event Type
    Malfunction
    Date Received
    May 4, 2011
    Date of Event
    April 6, 2011
    Report Date
    April 6, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE UNIT HAS BROKEN BRAKE STEER PEDALS ON BOTH SIDES AND THE BRAKES CANNOT BE ENGAGED. NO PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ST104 TRANSPORT HOSPITAL WHEELED STRETCHER FPO STRYKER MEDICAL 0737 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA