FDA Adverse Event Malfunction Summary report: N

EYE STRETCHER CHAIR

MDR report key: 3171031 · Received June 14, 2013

Report

Report Number
0001831750-2013-05459
Event Type
Malfunction
Date Received
June 14, 2013
Date of Event
May 17, 2013
Report Date
May 17, 2013
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FPO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE INSPECTION IDENTIFIED THAT THE PLASTIC AROUND THE ARM PAD WAS CRACKED AND ALLEGEDLY EXPOSING SHARP EDGES.

Description of Event or Problem · 1

IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE SIDE RAIL WAS BROKEN EXPOSING SHARP EDGES. MANUFACTURER'S INVESTIGATION IS ONGOING. IF ADDITIONAL INFORMATION IS RECEIVED, A FOLLOW-UP REPORT MAY BE SUBMITTED.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 SIDE RAIL WAS BROKEN EXPOSING SHARP EDGES. 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
270706 EYE STRETCHER CHAIR STRETCHER, WHEELED FPO STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1