BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    M-1 COT AMBULANCE COT

    MDR report key: 1760158 · Received July 12, 2010

    Report

    Report Number
    1831750-2010-01492
    Event Type
    Malfunction
    Date Received
    July 12, 2010
    Date of Event
    May 30, 2010
    Report Date
    June 17, 2010
    Manufacturer
    STRYKER CORP, MEDICAL DIVISION
    Product Code
    FPO
    Removal / Correction Number
    183750-04/14/2010-03
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THE SLIDE TUBE WELDMENT WAS BROKEN. NO ADVERSE CONSEQUENCE ALLEGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 M-1 COT AMBULANCE COT STRETCHER WHEELED FPO STRYKER CORP, MEDICAL DIVISION 6100 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK