1089 1089-000-000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-02-03 for 1089 1089-000-000 manufactured by Stryker Corporation.

Event Text Entries

[177368017] Surgeon was in the middle of performing a membrane peel during his retinal procedure. During the procedure the headrest of the stretcher dropped slightly as they were working. Surgery was stopped to recheck headrest. Pressure applied to headrest to check and no further movement was noted. Patient went to recovery. When patient was awake, the stretcher was removed and tagged for facilities to inspect. Surgeon did say patient had some bleeding in the eye as a result. It would be several weeks before he will know the full outcomes. It was noted upon inspection that it is possible for mechanism of the headrest to be between "notches" of adjustment. When this occurs, only a small amount of pressure is needed to lock headrest into the next level of adjustment. Manufacturer response for stretcher, wheeled, na (per site reporter). Stryker was contacted to investigate and repair stretcher. The rep was present at the hospital and noticed a gap where two pieces come together on the head piece. A new head piece was ordered to replace current head piece. We are awaiting an official report.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9659228
MDR Report Key9659228
Date Received2020-02-03
Date of Report2019-11-21
Date of Event2019-11-12
Report Date2019-11-21
Date Reported to FDA2019-11-21
Date Reported to Mfgr2020-02-03
Date Added to Maude2020-02-03
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNA
Generic NameSTRETCHER, WHEELED
Product CodeFPO
Date Received2020-02-03
Model Number1089
Catalog Number1089-000-000
Device AvailabilityY
Device Age8 YR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER CORPORATION
Manufacturer Address2825 AIRVIEW BLVD PORTAGE MI 49002 US 49002


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-02-03

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