FDA Adverse Event
Malfunction
Summary report: N
TRANSPORT STRETCHER
MDR report key: 2243475
·
Received August 11, 2011
Report
- Report Number
- 3006697241-2011-00079
- Event Type
- Malfunction
- Date Received
- August 11, 2011
- Date of Event
- August 1, 2011
- Report Date
- August 1, 2011
- Manufacturer
- HILL-ROM DE MEXICO S DE RL DE CV
- Product Code
- FPO
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE ACCOUNT REPLACED THE SHOULDER BOLT TO REPAIR THE STRETCHER.
Description of Event or Problem · 1
INFO RECEIVED INDICATES THE LEFT SIDERAIL WILL NOT LATCH DUE TO THE LATCH ASSEMBLY SHOULDER BOLT BACKING OUT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TRANSPORT STRETCHER | WHEELED STRETCHER | FPO | HILL-ROM DE MEXICO S DE RL DE CV | 8005 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |