FDA Adverse Event Malfunction Summary report: N

SM304 M-SERIES W/ZOOM

MDR report key: 3061856 · Received April 16, 2013

Report

Report Number
0001831750-2013-03364
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
INK
PMA / PMN Number
K022309
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PREVIOUS MDR WAS ISSUED WITHOUT THE PMA/510(K)# INCLUDED. THIS FOLLOW-UP MDR REPORT INCLUDES THE PMA/510(K)#.

Description of Event or Problem · 1

IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE STRETCHER HAD FLAT CASTERS THAT COULD POTENTIALLY RESULT IN REDUCED BRAKING FORCE. 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 STRETCHER HAD FLAT CASTERS THAT COULD POTENTIALLY RESULT IN REDUCED BRAKING FORCE. 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
162748 SM304 M-SERIES W/ZOOM STRETCHER, WHEELED, POWERED INK STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1