BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM104 M-SERIES W/5TH WHEEL

    MDR report key: 2231363 · Received July 18, 2011

    Report

    Report Number
    1831750-2011-07182
    Event Type
    Malfunction
    Date Received
    July 18, 2011
    Date of Event
    June 20, 2011
    Report Date
    June 20, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE HEAD END OF THE STRETCHER WOULD NOT RAISE. THE CUSTOMER COULD NOT DETERMINE IF THERE WAS PT INVOLVEMENT OF IF THERE WERE ADVERSE CONSEQUENCES TO REPORT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SM104 M-SERIES W/5TH WHEEL WHEELED STRETCHER FPO STRYKER MEDICAL 1007 NA

    Patients

    Seq Age Sex Outcome Treatment
    1