FDA Adverse Event
Malfunction
Summary report: N
RENAISSANCE 26 OBS 10/25/04
MDR report key: 3003007
·
Received March 13, 2013
Report
- Report Number
- 0001831750-2013-02008
- Event Type
- Malfunction
- Date Received
- March 13, 2013
- Date of Event
- February 15, 2013
- Report Date
- February 15, 2013
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- FPO
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE CASTER WHEEL RUBBER WAS COMING OFF THE WHEEL HUB. NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 104934 | RENAISSANCE 26 OBS 10/25/04 | STRETCHER, WHEELED | FPO | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |