FDA Adverse Event
Malfunction
Summary report: N
M-1 COT
MDR report key: 1800572
·
Received August 3, 2010
Report
- Report Number
- 1831750-2010-01693
- Event Type
- Malfunction
- Date Received
- August 3, 2010
- Date of Event
- July 5, 2010
- Report Date
- July 6, 2010
- Manufacturer
- STRYKER CORP MEDICAL DIVISION
- Product Code
- FPO
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT THE TREND TUBE WELDMENT BENT CORRECTLY INCORRECTLY PROHIBITING. BOTH GUIDES FROM FITTING INTO THEIR RESPECTIVE SLOTS, RENDERING TREND INOPERABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | M-1 COT | STRETCHER WHEELED | FPO | STRYKER CORP MEDICAL DIVISION | 6100 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |