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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO SM304 M-SERIES W/ZOOM; STRETCHER, WHEELED, POWERED

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STRYKER MEDICAL-KALAMAZOO SM304 M-SERIES W/ZOOM; STRETCHER, WHEELED, POWERED Back to Search Results
Catalog Number 1025000000
Device Problem Mechanical Jam (2983)
Patient Problem No Patient Involvement (2645)
Event Date 01/01/2020
Event Type  malfunction  
Manufacturer Narrative
This mdr is a consolidation of records summarized as part of the fda voluntary malfunction summary reporting program.4 devices were evaluated in the field and the issue was confirmed; 2 devices had worn components, 1 device had a broken/damaged component, and 1 device had an alignment issue.The devices were repaired and returned.1 device is pending evaluation.There was no remedial action taken.This device is not labeled for single use.
 
Event Description
This report summarizes 5 malfunction events, where it was reported the brakes/steer were difficult to engage/disengage or the brakes would not engage.There was no patient involvement.
 
Manufacturer Narrative
The final device was evaluated and the issue was confirmed.The device had broken/damaged components.The device was repaired and returned to service.
 
Event Description
This report summarizes 5 malfunction events, where it was reported the brakes/steer were difficult to engage/disengage or the brakes would not engage.There was no patient involvement.
 
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Brand Name
SM304 M-SERIES W/ZOOM
Type of Device
STRETCHER, WHEELED, POWERED
Manufacturer (Section D)
STRYKER MEDICAL-KALAMAZOO
3800 east centre avenue
portage MI 49002
MDR Report Key10000248
MDR Text Key189088975
Report Number0001831750-2020-00323
Device Sequence Number1
Product Code INK
Combination Product (y/n)N
Number of Events Reported5
Summary Report (Y/N)Y
Report Source Manufacturer
Source Type company representative
Type of Report Initial,Followup
Report Date 07/09/2020
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 Operator No Information
Device Catalogue Number1025000000
Was Device Available for Evaluation? Yes
Initial Date Manufacturer Received 04/01/2020
Initial Date FDA Received04/27/2020
Supplement Dates Manufacturer Received04/01/2020
Supplement Dates FDA Received07/09/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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