FDA Adverse Event Malfunction Summary report: N

POWER LOAD

MDR report key: 3000771 · Received March 12, 2013

Report

Report Number
0001831750-2013-01965
Event Type
Malfunction
Date Received
March 12, 2013
Date of Event
February 14, 2013
Report Date
February 14, 2013
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FPO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

UPON COMPLETION OF A HEALTH RISK ASSESSMENT PROVIDED BY A HEALTHCARE PROFESSIONAL, THIS ISSUE IF REPEATED IS NOT LIKELY TO RESULT IN SERIOUS INJURY OR DEATH TO THE PATIENT OR CAREGIVER. NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED. THIS ISSUE IS NOT LIKELY TO CAUSE OR CONTRIBUTE TO SERIOUS INJURY OR DEATH IF IT WAS TO REOCCUR.

Additional Manufacturer Narrative · 1

IT WAS REPORTED THAT THE RELEASE ARM COVER WAS BROKEN AND AFFECTING THE OPERATION OF THE POWER LOAD SYSTEM. THIS WAS REPORTED IN ERROR, THE RELEASE ARM COVER IS A COSMETIC COVER THAT DOES NOT DISRUPT FUNCTIONALITY OF THE SYSTEM.

Description of Event or Problem · 1

IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE POWER LOAD SYSTEM WAS NOT WORKING CORRECTLY DUE TO BROKEN RELEASE ARM AND ROUTING TRAY. NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED.

Description of Event or Problem · 1

IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE POWER LOAD SYSTEM WAS NOT WORKING CORRECTLY DUE TO BROKEN RELEASE ARM AND ROUTING TRAY. NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED.

Description of Event or Problem · 1

IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE POWER LOAD SYSTEM WAS NOT WORKING CORRECTLY DUE TO BROKEN RELEASE ARM, COVER, AND ROUTING TRAY. NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
103729 POWER LOAD STRETCHER, WHEELED FPO STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1