FDA Adverse Event Malfunction Summary report: N

GYNNIE OB-GYN STRETCHER

MDR report key: 3060962 · Received April 16, 2013

Report

Report Number
0001831750-2013-03323
Event Type
Malfunction
Date Received
April 16, 2013
Date of Event
March 19, 2013
Report Date
March 19, 2013
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FPO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

IT WAS ORIGINALLY REPORTED THAT THE BRAKES WOULD NOT ENGAGE/WOULD NOT HOLD DUE TO A BROKEN/DAMAGED GEAR PIN AND BASE FRAME WELDMENT. IT WAS FOUND THROUGH THE INVESTIGATION THAT THE SIDE CONTROL BRAKE/STEER WAS INOPERABLE DUE TO AN OBLONG HOLE IN THE WELDMENT. THIS ONLY AFFECTED THE SIDE CONTROLS OF THE UNIT. THE BRAKES AND STEER FEATURE COULD STILL BE APPLIED BY AN ALTERNATE PEDAL.

Description of Event or Problem · 1

IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE BRAKES WOULD NOT ENGAGE/WON'T HOLD DUE TO BROKEN/DAMAGED GEAR PIN AND BASE FRAME WELDMENT. 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 BRAKES WOULD NOT ENGAGE/WON'T HOLD DUE TO BROKEN/DAMAGED GEAR PIN AND BASE FRAME WELDMENT. 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
163724 GYNNIE OB-GYN STRETCHER STRETCHER, WHEELED FPO STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1