BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRIME BIG WHEEL STRETCHER,30"

    MDR report key: 2972288 · Received February 21, 2013

    Report

    Report Number
    0001831750-2013-01412
    Event Type
    Malfunction
    Date Received
    February 21, 2013
    Date of Event
    January 28, 2013
    Report Date
    January 28, 2013
    Manufacturer
    STRYKER MEDICAL-KALAMAZOO
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY REPAIR WORK ORDER THAT THE CUSTOMER ALLEGED THAT THE UNIT WAS MISSING THE FOOT LOCK LEVER. UPON INSPECTION OF THE UNIT BY THE SERVICE TECHNICIAN, IT WAS IDENTIFIED THAT BOTH THE HEAD END AND FOOT END PINS HAD BEEN SHEERED IN HALF, WHICH COULD PREVENT THE BRAKES FROM BEING ENGAGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    76027 PRIME BIG WHEEL STRETCHER,30" STRETCHER, WHEELED FPO STRYKER MEDICAL-KALAMAZOO

    Patients

    Seq Age Sex Outcome Treatment
    1