BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RENAISSANCE 29 P-WASHOBS10/04

    MDR report key: 2942479 · Received February 4, 2013

    Report

    Report Number
    0001831750-2013-00687
    Event Type
    Malfunction
    Date Received
    February 4, 2013
    Date of Event
    January 10, 2013
    Report Date
    January 10, 2013
    Manufacturer
    STRYKER MEDICAL-KALAMAZOO
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE IV POLE WELDMENT WAS DAMAGED AND THE IV POLE HAD THE POTENTIAL TO FALL IN AN UNINTENDED DIRECTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    46353 RENAISSANCE 29 P-WASHOBS10/04 STRETCHER, WHEELED FPO STRYKER MEDICAL-KALAMAZOO 1731

    Patients

    Seq Age Sex Outcome Treatment
    1