BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SM104 MSERIES W5TH WHLOBS3/07

    MDR report key: 2943024 · Received February 5, 2013

    Report

    Report Number
    0001831750-2013-00710
    Event Type
    Malfunction
    Date Received
    February 5, 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

    Additional Manufacturer Narrative · 1

    MATTRESS; VELCRO.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE SIDERAIL WOULD NOT LATCH IN THE UPRIGHT POSITION AND THE MATTRESS COULD NOT ADHERE TO THE LITTER DUE TO MISSING VELCRO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    47831 SM104 MSERIES W5TH WHLOBS3/07 STRETCHER, WHEELED FPO STRYKER MEDICAL-KALAMAZOO 1005

    Patients

    Seq Age Sex Outcome Treatment
    1