FDA Adverse Event
Malfunction
Summary report: N
PRIME ZOOM STRETCHER,30"LITTER
MDR report key: 3162303
·
Received June 11, 2013
Report
- Report Number
- 0001831750-2013-05281
- Event Type
- Malfunction
- Date Received
- June 11, 2013
- Date of Event
- May 15, 2013
- Report Date
- May 15, 2013
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- INK
- PMA / PMN Number
- K022309
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE ZOOM DRIVE DISENGAGES DURING USE DUE TO MALFUNCTIONED BATTERIES AND CSI BOX. 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 |
|---|---|---|---|---|---|---|---|
| 262278 | PRIME ZOOM STRETCHER,30"LITTER | STRETCHER, WHEELED, POWERED | INK | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |