BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRIME 5TH WHEEL STRETCHER, 30"

    MDR report key: 2133848 · Received May 12, 2011

    Report

    Report Number
    1831750-2011-04601
    Event Type
    Malfunction
    Date Received
    May 12, 2011
    Date of Event
    April 14, 2011
    Report Date
    April 14, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT, UPON INITIAL INSPECTION BY THE CUSTOMER, THE CASTER WHEEL WAS DAMAGED AND THE BRAKES WOULD NOT LOCK. NO PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCES WERE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRIME 5TH WHEEL STRETCHER, 30" HOSPITAL WHEELED STRETCHER FPO STRYKER MEDICAL 1105000030 NA

    Patients

    Seq Age Sex Outcome Treatment
    1