FDA Adverse Event
Malfunction
Summary report: N
RENAISSANCE 29 P-WASHOBS10/04
MDR report key: 3170086
·
Received June 14, 2013
Report
- Report Number
- 0001831750-2013-05407
- Event Type
- Malfunction
- Date Received
- June 14, 2013
- Date of Event
- April 20, 2013
- Report Date
- May 20, 2013
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- FPO
- PMA / PMN Number
- K022309
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE ZOOM DISENGAGES DURING USE DUE TO MALFUNCTIONED HANDLE CABLES. 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 |
|---|---|---|---|---|---|---|---|
| 271842 | RENAISSANCE 29 P-WASHOBS10/04 | STRETCHER, WHEELED | FPO | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |