FDA Adverse Event
Malfunction
Summary report: N
PROCEDURAL STRETCHER
MDR report key: 2222987
·
Received August 17, 2011
Report
- Report Number
- 3006697241-2011-00083
- Event Type
- Malfunction
- Date Received
- August 17, 2011
- Date of Event
- August 2, 2011
- Report Date
- August 2, 2011
- Manufacturer
- HILL-ROM DE MEXICO S DE RL DE CV
- Product Code
- FPO
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WI, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
PARTS WERE SENT TO THE ACCOUNT TO REPAIR THE STRETCHER. THE ACCOUNT HAS NOT RETURNED HILL-ROM'S ATTEMPTS TO DETERMINE THE RESOLUTION OF THE ALLEGED MALFUNCTION.
Description of Event or Problem · 1
THE ACCOUNT STATED, THE LEFT SIDERAIL END TUBE IS BROKEN, PREVENTING THE SIDERAIL FROM LATCHING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PROCEDURAL STRETCHER | WHEELED STRETCHER | FPO | HILL-ROM DE MEXICO S DE RL DE CV | 8000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |