FDA Adverse Event Malfunction Summary report: N

TRANSTAR STRETCHER

MDR report key: 3881800 · Received May 28, 2014

Report

Report Number
3006697241-2014-00485
Event Type
Malfunction
Date Received
May 28, 2014
Date of Event
April 9, 2014
Report Date
April 29, 2014
Manufacturer
HILLROM DE MEXICO S DE RL DE CV
Product Code
FPO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NO FURTHER INFORMATION IS AVAILABLE ON THE REPAIR OF THE BED AT THIS TIME. THE INVESTIGATION IS ONGOING, HOWEVER, IF ANY ADDITIONAL RELEVANT INFORMATION IS IDENTIFIED FOLLOWING COMPLETION OF THE INVESTIGATION, THE ADDITIONAL RELEVANT INFORMATION WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem · 1

THE ACCOUNT REPORTED THE STRETCHER BRAKES ROLL AND SWIVEL WHEN THE BRAKE PEDAL IS ENGAGED. THE STRETCHER IS LOCATED IN THE ER HALLWAY AT THE FACILITY. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT # 135100.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
314472 TRANSTAR STRETCHER WHEELED STRETCHER FPO HILLROM DE MEXICO S DE RL DE CV 800001

Patients

Seq Age Sex Outcome Treatment
1