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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO 6507 POWER PRO 2, MID CONFIG; STRETCHER, WHEELED

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STRYKER MEDICAL-KALAMAZOO 6507 POWER PRO 2, MID CONFIG; STRETCHER, WHEELED Back to Search Results
Catalog Number 650705550002
Medical Device Problem Codes Positioning Failure (1158); Difficult to Remove (1528)
Health Effect - Clinical Code Fall (1848)
Date of Event 04/01/2024
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
This record is a consolidation of records summarized as part of the fda voluntary malfunction summary reporting program.1 device is pending evaluation.There was no remedial action taken.This device is not labeled for single use.
 
Event or Problem Description
This report summarizes 1 malfunction event, where it was reported the device experienced inability to disengage the cot from the cot fastener and false engagement of handle in the upright or horizontal position.There was 1 event with patient involvement; the patient experienced unknown.
 
Event or Problem Description
This report summarizes 1 malfunction event, where it was reported the device experienced false engagement of handle in the upright or horizontal position.There was 1 event with patient involvement; no adverse consequences were reported.
 
Additional Manufacturer Narrative
The device pending evaluation was evaluated in the field and the issue was confirmed.The device was repaired on site and returned to service.The device code was also adjusted per evaluation of the device.Section h codes have been updated to reflect this.
 
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Brand Name
6507 POWER PRO 2, MID CONFIG
Common Device Name
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 Key19818522
Report Number0001831750-2024-00737
Device Sequence Number8666004
Product Code FPO
UDI-Device Identifier07613327559125
UDI-Public07613327559125
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
Number of Events Summarized1
Summary Report (Y/N)Y
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 08/20/2024
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 Number650705550002
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 07/01/2024
Supplement Date Received by Manufacturer07/01/2024
Initial Report FDA Received Date07/24/2024
Supplement Report FDA Received Date08/21/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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