FDA Adverse Event Malfunction Summary report: N

SM104 MSERIES W5TH WHLOBS3/07

MDR report key: 2933649 · Received January 29, 2013

Report

Report Number
0001831750-2013-00504
Event Type
Malfunction
Date Received
January 29, 2013
Date of Event
January 8, 2013
Report Date
January 8, 2013
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FPO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED BY SERVICE REPORT THAT THE BRAKES WERE NOT HOLDING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
39328 SM104 MSERIES W5TH WHLOBS3/07 STRETCHER, WHEELED FPO STRYKER MEDICAL-KALAMAZOO 1005

Patients

Seq Age Sex Outcome Treatment
1