BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TRANSPORT SERIES

    MDR report key: 2243199 · Received September 1, 2011

    Report

    Report Number
    1831750-2011-09391
    Event Type
    Malfunction
    Date Received
    September 1, 2011
    Date of Event
    August 4, 2011
    Report Date
    August 4, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    EVALUATION RESULT - IV POLE RECEPTACLE.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE IV POLE BRACKET WAS BROKEN OFF OF THE STRETCHER. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TRANSPORT SERIES HOSPITAL WHEELED STRETCHER FPO STRYKER MEDICAL 0721 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA