BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TRANSPORT STRETCHER

    MDR report key: 2243482 · Received August 19, 2011

    Report

    Report Number
    3006697241-2011-00084
    Event Type
    Malfunction
    Date Received
    August 19, 2011
    Date of Event
    July 22, 2011
    Report Date
    July 22, 2011
    Manufacturer
    HILL-ROM DE MEXICO S DE RL DE CV
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    REPAIRS HAVE NOT BEEN COMPLETED.

    Description of Event or Problem · 1

    INFO RECEIVED INDICATES THAT A NURSE AT (B)(6) HOSP SLIPPED AND FELL WHILE PUSHING A STRETCHER WITH A PT ON IT AND THE PT FELL OUT OF THE STRETCHER AS WELL. NO INJURY. THE ACCOUNT STATED THAT THE STEER CASTER ON THE STRETCHER WAS SHAKING, WHICH CAUSED THE NURSE TO LOSE CONTROL OF THE STRETCHER. THE STRETCHER WAS SHAKING SO MUCH THAT THE PT'S LEG STARTED TO FALL OFF THE STRETCHER. THE STEER CASTER WAS LOCKED OPPOSITE OF THE OTHER THREE CASTERS WHICH WERE IN THE TRAILING POSITION. THE POSITION OF THE STEER CASTER WAS THE CAUSE OF THE SHAKING.

    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 UNK