FDA Adverse Event Malfunction Summary report: Y

POWER PRO AMBULANCE COT

MDR report key: 12235090 · Received July 27, 2021

Report

Report Number
0001831750-2021-01155
Event Type
Malfunction
Date Received
July 27, 2021
Date of Event
April 1, 2021
Report Date
October 27, 2021
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FPO
UDI-DI
07613327261639
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THIS SUPPLEMENTAL REPORT IS BEING SUBMITTED TO DOCUMENT AN EVENT THAT WAS NOT PREVIOUSLY CAPTURED AS THE DEVICE IS STILL PENDING EVALUATION.

Additional Manufacturer Narrative · 0

THE FINAL 4 INVESTIGATIONS HAVE BEEN COMPLETED. 1 DEVICE WAS EVALUATED IN THE FIELD AND THE ISSUE WAS CONFIRMED. THE DEVICE WAS REPAIRED ON SITE AND RETURNED TO SERVICE. 1 DEVICE WAS EVALUATED IN THE FIELD AND IT WAS DETERMINED THE MALFUNCTION WAS CAUSED BY THE FASTENER AND NOT THE COT, AND THEREFORE IS NOT REPORTABLE. THIS EVENT HAS BEEN REMOVED FROM THE NUMBER OF EVENTS SUMMARIZED. 1 DEVICE WAS EVALUATED IN THE FIELD AND IT WAS DETERMINED THE DEVICE WAS NOT EXPERIENCING THIS ISSUE. THIS EVENT HAS BEEN REMOVED FROM THIS SUMMARY REPORT AND ADDED TO THE FINAL NUMBER OF EVENTS SUMMARIZED UNDER MFG REPORT # 0001831750-2021-01259 1 DEVICE WAS EVALUATED IN THE FIELD AND UPON COMPLETION OF THE INVESTIGATION, IT WAS DETERMINED THIS DEVICE WAS ALSO EXPERIENCING AN ADDITIONAL DEVICE PROBLEM NOT PREVIOUSLY REPORTED. THIS EVENT HAS BEEN REMOVED FROM THIS REPORT AND DOCUMENTED SEPARATELY UNDER MFG REPORT # 0001831750-2021-01347.

Additional Manufacturer Narrative · 0

THE NUMBER OF EVENTS HAS BEEN UPDATED TO INCLUDE AN EVENT PREVIOUSLY REPORTED IN MFR REPORT # 0001831750-2021-01259 FOLLOWING THE COMPLETION OF AN INVESTIGATION. THE DEVICE WAS EVALUATED IN THE FIELD BUT THE ISSUE WAS NOT CONFIRMED; NO DEFECT OR MALFUNCTION WAS FOUND. 1 DEVICE WAS EVALUATED IN THE FIELD AND THE ISSUE WAS CONFIRMED. THE DEVICE WAS REPAIRED ON SITE AND RETURNED TO SERVICE. 1 DEVICE WAS EVALUATED IN THE FIELD BUT THE ISSUE WAS NOT CONFIRMED; NO DEFECT OR MALFUNCTION WAS FOUND.

Additional Manufacturer Narrative · 0

THE FINAL DEVICE WAS EVALUATED IN THE FIELD, BUT THE ISSUE WAS NOT CONFIRMED; NO DEFECT OR MALFUNCTION WAS FOUND.

Description of Event or Problem · 0

THIS REPORT SUMMARIZES 85 MALFUNCTION EVENTS, WHERE IT WAS REPORTED THE DEVICES EXPERIENCED DIFFICULTY LOADING/UNLOADING THE COT IN THE AMBULANCE. THERE WAS 1 EVENT WITH PATIENT INVOLVEMENT; THE PATIENT EXPERIENCED PAIN.

Description of Event or Problem · 0

THIS REPORT SUMMARIZES 84 MALFUNCTION EVENTS, WHERE IT WAS REPORTED THE DEVICES EXPERIENCED DIFFICULTY LOADING/UNLOADING THE COT IN THE AMBULANCE. THERE WAS 1 EVENT WITH PATIENT INVOLVEMENT; THE PATIENT EXPERIENCED PAIN.

Description of Event or Problem · 0

THIS REPORT SUMMARIZES 87 MALFUNCTION EVENTS, WHERE IT WAS REPORTED THE DEVICES EXPERIENCED DIFFICULTY LOADING/UNLOADING THE COT IN THE AMBULANCE. THERE WAS 1 EVENT WITH PATIENT INVOLVEMENT; THE PATIENT EXPERIENCED PAIN.

Description of Event or Problem · 0

THIS REPORT SUMMARIZES 85 MALFUNCTION EVENTS, WHERE IT WAS REPORTED THE DEVICES EXPERIENCED DIFFICULTY LOADING/UNLOADING THE COT IN THE AMBULANCE. THERE WAS 1 EVENT WITH PATIENT INVOLVEMENT; THE PATIENT EXPERIENCED PAIN.

Additional Manufacturer Narrative · 1

THIS RECORD IS A CONSOLIDATION OF RECORDS SUMMARIZED AS PART OF THE FDA VOLUNTARY MALFUNCTION SUMMARY REPORTING PROGRAM. 79 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. 6 DEVICES ARE PENDING EVALUATION. THERE WAS NO REMEDIAL ACTION TAKEN. THIS DEVICE IS NOT LABELED FOR SINGLE USE.

Description of Event or Problem · 1

THIS REPORT SUMMARIZES 86 MALFUNCTION EVENTS, WHERE IT WAS REPORTED THE DEVICES EXPERIENCED DIFFICULTY LOADING/UNLOADING THE COT IN THE AMBULANCE. THERE WAS 1 EVENT WITH PATIENT INVOLVEMENT; THE PATIENT EXPERIENCED PAIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1130162 POWER PRO AMBULANCE COT STRETCHER, WHEELED FPO STRYKER MEDICAL-KALAMAZOO 6506 07613327261639

Patients

Seq Age Sex Outcome Treatment
1