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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO PRIME ZOOM STRETCHER, ELECTRIC; STRETCHER, WHEELED, POWERED

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STRYKER MEDICAL-KALAMAZOO PRIME ZOOM STRETCHER, ELECTRIC; STRETCHER, WHEELED, POWERED Back to Search Results
Catalog Number 1125000000E
Medical Device Problem Codes Electrical /Electronic Property Problem (1198); Fluid/Blood Leak (1250)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/01/2024
Type of Reportable Event Malfunction
Event or Problem Description
This report summarizes 4 malfunction event(s), where it was reported the devices experienced accessible ac current and fluid leaking onto the floor.There was no patient involvement.
 
Additional Manufacturer Narrative
This record is a consolidation of records summarized as part of the fda voluntary malfunction summary reporting program.4 devices were functionally/visually inspected in the field.The devices were repaired and returned to use.There was no remedial action taken.This device is not labeled for single use.
 
Additional Manufacturer Narrative
Vmsr added to exemption number field.
 
Event or Problem Description
This report summarizes 4 malfunction event(s), where it was reported the devices experienced accessible ac current and fluid leaking onto the floor.There was no patient involvement.
 
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Brand Name
PRIME ZOOM STRETCHER, ELECTRIC
Common Device Name
STRETCHER, WHEELED, POWERED
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
brandon luckas
3800 east centre avenue
portage, MI 49002
2693292100
MDR Report Key21273429
Report Number0001831750-2025-00248
Device Sequence Number11741450
Product Code INK
UDI-Device Identifier07613327278286
UDI-Public07613327278286
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
PMA/510(K) Number
K14095
Exemption NumberVMSR
Number of Events Summarized4
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) 04/21/2025
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 Number1125000000E
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 01/01/2025
Supplement Date Received by Manufacturer01/01/2025
Initial Report FDA Received Date01/30/2025
Supplement Report FDA Received Date04/21/2025
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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