FDA Adverse Event Malfunction Summary report: N

RENAISSANCE 29 STRETCHER 8/00

MDR report key: 3220825 · Received July 11, 2013

Report

Report Number
0001831750-2013-06257
Event Type
Malfunction
Date Received
July 11, 2013
Date of Event
January 1, 2013
Report Date
June 12, 2013
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FPO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PREVIOUSLY, IT WAS REPORTED THAT THE BRAKES COULD NOT BE ENGAGED. UPON COMPLETION OF THE MANUFACTURER'S INVESTIGATION IT WAS DETERMINED THAT THE HEAD END BRAKE PEDAL COULD NOT ENGAGE THE BRAKES. HOWEVER, THE BRAKES WOULD HAVE BEEN ABLE TO BE ENGAGED USING AN ALTERNATIVE PEDAL IF NEEDED. SO THE UNIT COULD STILL BE PUT INTO BRAKE. NO PATIENT WAS AFFECTED AND NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED. THIS ISSUE IS NOT LIKELY TO CAUSE OR CONTRIBUTE TO SERIOUS INJURY OR DEATH IF IT WAS TO RECUR.

Description of Event or Problem · 1

IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE BRAKES COULD NOT BE ENGAGED DUE TO MALFUNCTIONED BRAKE ROD. 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 BRAKES COULD NOT BE ENGAGED DUE TO MALFUNCTIONED BRAKE ROD. 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
319864 RENAISSANCE 29 STRETCHER 8/00 STRETCHER, WHEELED FPO STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1