FDA Adverse Event Malfunction Summary report: N

SM204 M-SERIES W/BIG WHEEL

MDR report key: 3031443 · Received April 2, 2013

Report

Report Number
0001831750-2013-02820
Event Type
Malfunction
Date Received
April 2, 2013
Date of Event
March 7, 2013
Report Date
March 7, 2013
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FPO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

UPON COMPLETION OF THE MANUFACTURER'S INVESTIGATION IT WAS FOUND THAT THE PATIENT RIGHT LATCH ASSEMBLY WAS BROKEN, CAUSING THE TOPRAIL TO BE DIFFICULT TO LOCK AND UNLOCK. HOWEVER, THE SIDE RAIL WAS STILL ABLE TO REMAIN LATCHED IN THE UPRIGHT POSITION AND TO BE UNLATCHED IF NEEDED.

Description of Event or Problem · 1

IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE SIDERAIL COULD NOT REMAIN LATCHED DUE TO A BROKEN LATCH ASSEMBLY. NO PATIENT WAS AFFECTED AND 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 SIDERAIL COULD NOT REMAIN LATCHED DUE TO A BROKEN LATCH ASSEMBLY. 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
133898 SM204 M-SERIES W/BIG WHEEL STRETCHER, WHEELED FPO STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1