FDA Adverse Event
Injury
Summary report: N
SM104 M-SERIES W/5TH WHEEL
MDR report key: 757180
·
Received August 25, 2006
Report
- Report Number
- 1831750-2006-00052
- Event Type
- Injury
- Date Received
- August 25, 2006
- Date of Event
- July 28, 2006
- Report Date
- July 28, 2006
- Manufacturer
- STRYKER CORP, MED. DIV.
- Product Code
- FPO
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
IN ORDER FOR THE LITTER SURFACE TO LOWER, THE DESCENT PEDAL MUST BE DEPRESSED AND REMAIN DEPRESSED FOR THE UNIT TO CONTINUE TO LOWER. THE MOMEMT THE DESCENT PEDAL IS NO LONGER BEING THE DEPRESSED, THE LITTER SURFACE CEASES TO LOWER.
Description of Event or Problem · 1
IT WAS REPORTED THAT A VISITOR IN AN ER TREATMENT ROOM AT THE FACILITY HAD THEIR LEGS RESTING ON THE BASE OF A STRETCHER. REPORTEDLY, THE VISITOR DEPRESSED THE RELEASE PEDAL CAUSING THE PATIENT SURFACE TO LOWER ONTO THE VISITOR'S LEFT LEG CAUSING A JOINT DIFFUSION OF THE LEFT FOOT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SM104 M-SERIES W/5TH WHEEL | WHEELED STRETCHER | FPO | STRYKER CORP, MED. DIV. | 1005 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Required Intervention |