BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TRAUMA STRETCHER

    MDR report key: 3883330 · Received February 20, 2014

    Report

    Report Number
    3006697241-2014-00177
    Event Type
    Malfunction
    Date Received
    February 20, 2014
    Date of Event
    January 24, 2014
    Report Date
    January 24, 2014
    Manufacturer
    HILLROM DE MEXICO S DE RL DE CV
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN FOUND THE BRAKE CASTERS ARE WORN. THE TECHNICIAN REPLACED ALL BRAKE CASTERS TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

    Description of Event or Problem · 1

    THE ACCOUNT REPORTED THE BRAKE CASTER WOULD SWIVEL WHEN THE BRAKES ARE SET. THE STRETCHER WAS LOCATED IN THE BED SHOP AT THE FACILITY. THERE WAS NO PATIENT/USER INJURY REPORTED. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    107990 TRAUMA STRETCHER WHEELED STRETCHER FPO HILLROM DE MEXICO S DE RL DE CV 8040

    Patients

    Seq Age Sex Outcome Treatment
    1