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