BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ST104 TRANSPORT

    MDR report key: 2910304 · Received December 19, 2012

    Report

    Report Number
    1831750-2012-13034
    Event Type
    Malfunction
    Date Received
    December 19, 2012
    Date of Event
    November 15, 2012
    Report Date
    November 19, 2012
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE FOOT END JACK COULD NOT BE PUMPED UP. THERE WERE NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ST104 TRANSPORT HOSPITAL WHEELED STRETCHER FPO STRYKER MEDICAL 0747 NA

    Patients

    Seq Age Sex Outcome Treatment
    1