FDA Adverse Event
Malfunction
Summary report: N
HEAD/NECK 26 STRETCH OBS1/00
MDR report key: 3020315
·
Received March 25, 2013
Report
- Report Number
- 0001831750-2013-02488
- Event Type
- Malfunction
- Date Received
- March 25, 2013
- Date of Event
- February 26, 2013
- Report Date
- February 26, 2013
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- FPO
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE FOOT END BRAKES WOULD NOT ENGAGE DUE TO A BENT BRAKE ADJUSTER AND MISSING ROLLERS. THE BRAKES ON THE HEAD END FUNCTIONED TO SPECIFICATION. NO PATIENT WAS AFFECTED AND NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 121575 | HEAD/NECK 26 STRETCH OBS1/00 | STRETCHER, WHEELED | FPO | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |