BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RENAISSANCE 26 OBS 10/25/04

    MDR report key: 2964136 · Received February 15, 2013

    Report

    Report Number
    0001831750-2013-01230
    Event Type
    Malfunction
    Date Received
    February 15, 2013
    Date of Event
    January 21, 2013
    Report Date
    January 21, 2013
    Manufacturer
    STRYKER MEDICAL-KALAMAZOO
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY REPAIR WORK ORDER THAT THE CUSTOMER ALLEGED THAT THE FOWLER WAS DRIFTING. UPON INSPECTION OF THE UNIT BY THE SERVICE TECHNICIAN, IT WAS IDENTIFIED THAT THE PATIENT-RIGHT FOWLER GAS CYLINDER WAS DRIFTING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    68745 RENAISSANCE 26 OBS 10/25/04 STRETCHER, WHEELED FPO STRYKER MEDICAL-KALAMAZOO 1210

    Patients

    Seq Age Sex Outcome Treatment
    1