BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRIME ZOOM STRETCHER,30"LITTER

    MDR report key: 2924859 · Received January 22, 2013

    Report

    Report Number
    0001831750-2013-00254
    Event Type
    Malfunction
    Date Received
    January 22, 2013
    Date of Event
    January 3, 2013
    Report Date
    January 3, 2013
    Manufacturer
    STRYKER MEDICAL-KALAMAZOO
    Product Code
    INK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CT, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    IV POLE.

    Description of Event or Problem · 1

    IT WAS REPORTED BY A SERVICE REPORT THAT THE IV POLE WAS LOOSE AND COULD FALL IN AN UNINTENDED DIRECTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    31288 PRIME ZOOM STRETCHER,30"LITTER POWERED, STRETCHER, WHEELED INK STRYKER MEDICAL-KALAMAZOO 1125000030

    Patients

    Seq Age Sex Outcome Treatment
    1