FDA Adverse Event Malfunction Summary report: N

SM304 M-SERIES W/ZOOM

MDR report key: 2841664 · Received October 24, 2012

Report

Report Number
1831750-2012-11165
Event Type
Malfunction
Date Received
October 24, 2012
Date of Event
September 26, 2012
Report Date
September 26, 2012
Manufacturer
STRYKER MEDICAL
Product Code
INK
PMA / PMN Number
K022309
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

IT WAS REPORTED BY SERVICE REPORT THAT THE HEAD END COVERS WERE BROKEN EXPOSING SHARP EDGES. THE CUSTOMER REPORTED THAT THEY DID NOT KNOW IF THERE WAS PT INVOLVEMENT OR IF THERE WERE ADVERSE CONSEQUENCES TO REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SM304 M-SERIES W/ZOOM POWERED WHEELED STRETCHER INK STRYKER MEDICAL 1025 NA

Patients

Seq Age Sex Outcome Treatment
1