FDA Adverse Event
Malfunction
Summary report: N
SM304 M-SERIES W/ZOOM
MDR report key: 2760298
·
Received September 20, 2012
Report
- Report Number
- 1831750-2012-09980
- Event Type
- Malfunction
- Date Received
- September 20, 2012
- Date of Event
- August 24, 2012
- Report Date
- August 24, 2012
- Manufacturer
- STRYKER MEDICAL
- Product Code
- FNL
- PMA / PMN Number
- K022309
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- ID, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
OTHER: CUSTOMER EVALUATED UNIT VISUALLY AND FUNCTIONALLY, AND PROVIDED STRYKER SERVICE TECHNICIAN AN IMAGE OF THE ALLEGED DAMAGE. LOAD CELL WELDMENT. REPLACEMENT PART WAS PROVIDED TO CUSTOMER, SUCH THAT THEY REPAIR THE UNIT THEMSELVES.
Description of Event or Problem · 1
IT WAS REPORTED BY SERVICE REPORT THAT THE CUSTOMER ALLEGED THAT THE ZOOM FUNCTION ON THE STRETCHER WAS INTERMITTENT DUE TO A CRACKED LOAD CELL WELDMENT. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SM304 M-SERIES W/ZOOM | POWERED WHEELED STRETCHER | FNL | STRYKER MEDICAL | 1025 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |