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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO PRIME ZOOM STRETCHER30INLITTER; STRETCHER, WHEELED, POWERED

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STRYKER MEDICAL-KALAMAZOO PRIME ZOOM STRETCHER30INLITTER; STRETCHER, WHEELED, POWERED Back to Search Results
Catalog Number 1125000030
Medical Device Problem Code Unintended System Motion (1430)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/01/2025
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.14 devices were functionally/visually inspected in the field.The devices were repaired and returned to use.1 device was not evaluated and no cause was determined, as the customer did not make the device accessible for testing.2 devices were not evaluated, as a probable cause for the issue was identified during communication between the customer and stryker and no further assistance was requested by the customer.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 18 malfunction events, where it was reported the devices experienced unintended direction of the zoom or unintended excessive speed of the zoom.No adverse consequence or clinically relevant delay in treatment was 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.Section h codes have been updated to reflect this.
 
Event or Problem Description
No new information.
 
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Brand Name
PRIME ZOOM STRETCHER30INLITTER
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
melissa simon
3800 east centre avenue
portage, MI 49002
2693292100
MDR Report Key21919958
Report Number0001831750-2025-00557
Device Sequence Number13017384
Product Code INK
UDI-Device Identifier07613327278293
UDI-Public07613327278293
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K140095
Exemption NumberVMSR
Number of Events Summarized18
Summary Report (Y/N)Y
Reporter Type Manufacturer
Report Source User Facility
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 04/29/2025
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 Number1125000030
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 04/01/2025
Supplement Date Received by Manufacturer04/01/2025
Initial Report FDA Received Date04/28/2025
Supplement Report FDA Received Date04/29/2025
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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