BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM104 MSERIES W/5TH WHL

    MDR report key: 2933455 · Received December 21, 2012

    Report

    Report Number
    1831750-2012-13164
    Event Type
    Malfunction
    Date Received
    December 21, 2012
    Date of Event
    November 21, 2012
    Report Date
    November 21, 2012
    Manufacturer
    STRYKER MEDICAL
    Product Code
    INK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NV, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE SIDE RAIL WOULD NOT REMAIN LATCHED. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES WERE REPORTED. SEE SCANNED PAGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SM104 MSERIES W/5TH WHL HOSPITAL WHEELED STRETCHER INK STRYKER MEDICAL 1005 NA

    Patients

    Seq Age Sex Outcome Treatment
    1