FDA Adverse Event Malfunction Summary report: N

RENAISSANCE 26 P-WASS 10/04

MDR report key: 2934064 · Received January 30, 2013

Report

Report Number
0001831750-2013-00520
Event Type
Malfunction
Date Received
January 30, 2013
Date of Event
January 7, 2013
Report Date
January 7, 2013
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FPO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BRAKE CAM.

Description of Event or Problem · 1

IT WAS REPORTED BY SERVICE REPORT THAT THE CUSTOMER ALLEGED THAT THE BRAKE WOULD NOT HOLD. UPON INSPECTION OF THE UNIT BY THE SERVICE TECHNICIAN, IT WAS IDENTIFIED THAT THE BRAKE CAMS ON THE HEAD END AND FOOT END WERE WORN DOWN AND NOT FULLY ENGAGING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
41344 RENAISSANCE 26 P-WASS 10/04 STRETCHER, WHEELED FPO STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1