FDA Adverse Event Malfunction Summary report: N

UNKNOWN_MEDICAL_PRODUCT

MDR report key: 3833142 · Received May 27, 2014

Report

Report Number
0001831750-2014-03016
Event Type
Malfunction
Date Received
May 27, 2014
Date of Event
April 30, 2014
Report Date
April 30, 2014
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FPO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS COMPLAINT WAS REPORTED INVOLVING A PRODUCT FOR WHICH STRYKER IS NOT THE MANUFACTURER. THE MANUFACTURER FOR THE PRODUCT WAS IDENTIFIED AND A LETTER HAS BEEN SENT TO THE FOOD AND DRUG ADMINISTRATION INFORMING THEM OF THIS COMPLAINT.

Description of Event or Problem · 1

IT WAS REPORTED BY SERVICE REPORT THAT THE BRAKES WOULD NOT ENGAGE. 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 BY SERVICE REPORT THAT THE BRAKES WOULD NOT ENGAGE. 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
311214 UNKNOWN_MEDICAL_PRODUCT STRETCHER, WHEELED FPO STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1