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