FDA Adverse Event
Malfunction
Summary report: N
PRIME ZOOM STRETCHER, ELECTRIC
MDR report key: 3212126
·
Received July 8, 2013
Report
- Report Number
- 0001831750-2013-06155
- Event Type
- Malfunction
- Date Received
- July 8, 2013
- Date of Event
- June 10, 2013
- Report Date
- June 10, 2013
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- INK
- PMA / PMN Number
- K022309
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OR, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE ZOOM HAS INTERMITTENT POWER DUE TO MALFUNCTIONED 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 |
|---|---|---|---|---|---|---|---|
| 311453 | PRIME ZOOM STRETCHER, ELECTRIC | STRETCHER, WHEELED, POWERED | INK | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |