BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRIME BIG WHEEL STRETCHER,30"

    MDR report key: 3061834 · Received April 16, 2013

    Report

    Report Number
    0001831750-2013-03371
    Event Type
    Malfunction
    Date Received
    April 16, 2013
    Date of Event
    March 20, 2013
    Report Date
    March 20, 2013
    Manufacturer
    STRYKER MEDICAL-KALAMAZOO
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE IV POLE COULD FALL IN AN UNINTENDED DIRECTION DUE TO A BROKEN SOCKET AND BENT IV POLE. 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
    162012 PRIME BIG WHEEL STRETCHER,30" STRETCHER, WHEELED FPO STRYKER MEDICAL-KALAMAZOO

    Patients

    Seq Age Sex Outcome Treatment
    1