FDA Adverse Event Malfunction Summary report: Y

PRIME ZOOM STRETCHER30INLITTER

MDR report key: 7698838 · Received July 18, 2018

Report

Report Number
0001831750-2018-00755
Event Type
Malfunction
Date Received
July 18, 2018
Date of Event
March 2, 2018
Report Date
September 6, 2018
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
INK
UDI-DI
07613327278293
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS MDR IS PART OF THE MALFUNCTION SUMMARY REPORTING PROGRAM, EXEMPTION NUMBER E2014007. THE DEVICES ARE PENDING EVALUATION. THERE WAS NO REMEDIAL ACTION TAKEN. THIS DEVICE IS NOT LABELED FOR SINGLE USE.

Additional Manufacturer Narrative · 1

THE UNITS WERE NOT EVALUATED AS THE CUSTOMER CANCELLED THEIR SERVICE REQUEST AND INDICATED THEY HAD PERFORMED THEIR OWN REPAIRS. CUSTOMER CANCELLED SERVICE REQUEST.

Description of Event or Problem · 1

THIS REPORT SUMMARIZES <NOE> 3 </NOE> MALFUNCTION EVENTS, WHERE IT WAS REPORTED THE UNIT WAS NOT PASSING GROUND RESISTANCE TESTING. THERE WAS NO PATIENT INVOLVEMENT.

Description of Event or Problem · 1

THIS REPORT SUMMARIZES <NOE> 3 </NOE> MALFUNCTION EVENTS, WHERE IT WAS REPORTED THE UNIT WAS NOT PASSING GROUND RESISTANCE TESTING. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
541036 PRIME ZOOM STRETCHER30INLITTER STRETCHER, WHEELED, POWERED INK STRYKER MEDICAL-KALAMAZOO 07613327278293

Patients

Seq Age Sex Outcome Treatment
1