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 |