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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO PRIME 5TH WHEEL STRETCHER 26"; STRETCHER, WHEELED

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STRYKER MEDICAL-KALAMAZOO PRIME 5TH WHEEL STRETCHER 26"; STRETCHER, WHEELED Back to Search Results
Catalog Number 1105000026
Device Problem Mechanical Jam (2983)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 10/01/2023
Event Type  malfunction  
Manufacturer Narrative
This record is a consolidation of records summarized as part of the fda voluntary malfunction summary reporting program.1 device was functionally/visually inspected in the field.The device was repaired and returned to use.There was no remedial action taken.This device is not labeled for single use.
 
Event Description
This report summarizes 1 malfunction event, where it was reported the device experienced steer mechanism is difficult to engage/disengage.There was no patient involvement.
 
Event Description
This report summarizes 3 malfunction events, where it was reported the device experienced steer mechanism is difficult to engage/disengage or brakes cannot be engaged.There was no patient involvement.
 
Manufacturer Narrative
The number of events has been updated to include an event previously reported on mfr report # 0001831750-2024-00264 following the completion of an investigation.
 
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Brand Name
PRIME 5TH WHEEL STRETCHER 26"
Type of Device
STRETCHER, WHEELED
Manufacturer (Section D)
STRYKER MEDICAL-KALAMAZOO
3800 east centre avenue
portage MI 49002
Manufacturer (Section G)
STRYKER MEDICAL-KALAMAZOO
3800 east centre avenue
portage MI 49002
Manufacturer Contact
melissa simon
3800 east centre avenue
portage, MI 49002
2693292100
MDR Report Key18562785
MDR Text Key333462378
Report Number0001831750-2024-00063
Device Sequence Number1
Product Code FPO
UDI-Device Identifier07613327278149
UDI-Public07613327278149
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported3
Summary Report (Y/N)Y
Report Source Manufacturer
Source Type Company Representative
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 02/02/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Catalogue Number1105000026
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 01/01/2024
Initial Date FDA Received01/23/2024
Supplement Dates Manufacturer Received01/01/2024
Supplement Dates FDA Received02/02/2024
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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