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