BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRIME ZOOM STRETCHER, ELECTRIC

    MDR report key: 2191376 · Received July 28, 2011

    Report

    Report Number
    1831750-2011-07793
    Event Type
    Malfunction
    Date Received
    July 28, 2011
    Date of Event
    June 30, 2011
    Report Date
    June 30, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    INK
    PMA / PMN Number
    K022309
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    EVAL RESULT: FOWLER.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SVC REPORT THAT THE FOWLER DRIFTS DOWN. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRIME ZOOM STRETCHER, ELECTRIC WHEELED POWERED STRETCHER INK STRYKER MEDICAL 1125000000E NA

    Patients

    Seq Age Sex Outcome Treatment
    1