BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PT ROOM WALL SAVER RECL

    MDR report key: 2191870 · Received July 29, 2011

    Report

    Report Number
    1831750-2011-07871
    Event Type
    Malfunction
    Date Received
    July 29, 2011
    Date of Event
    July 1, 2011
    Report Date
    July 1, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FRK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE FRONT LEFT CASTER IS BROKEN. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PT ROOM WALL SAVER RECL EXAMINATION AND TREATMENT CHAIR FRK STRYKER MEDICAL 3500000730 NA

    Patients

    Seq Age Sex Outcome Treatment
    1