FDA Adverse Event
Malfunction
Summary report: N
SM104 MSERIES W5TH WHEEL
MDR report key: 2935519
·
Received January 4, 2013
Report
- Report Number
- 1831750-2013-90057
- Event Type
- Malfunction
- Date Received
- January 4, 2013
- Date of Event
- December 5, 2012
- Report Date
- December 5, 2012
- Manufacturer
- STRYKER MEDICAL
- Product Code
- FPO
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
OXYGEN BOTTLE. STRYKER TECH EVALUATED THE UNIT AND CONFIRMED THAT THE ALLEGED EVENT WAS DUE TO USER ERROR.
Description of Event or Problem · 1
IT WAS REPORTED BY SERVICE REPORT THAT THE STRETCHER WILL NOT PUMP UP FROM THE LOWEST POSITION. THE CUSTOMER REPORTED THAT THEY DID NOT KNOW IF THERE WAS PT INVOLVEMENT OR IF THERE WERE ADVERSE CONSEQUENCES TO REPORT. STRYKER TECH REVIEWED THE UNIT AND CONFIRMED IT TO BE USER ERROR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 5621 | SM104 MSERIES W5TH WHEEL | HOSPITAL WHEELED STRETCHER | FPO | STRYKER MEDICAL | 1007 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |