BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    M-1 COT - BASE HIGH LOAD 28

    MDR report key: 1800585 · Received August 3, 2010

    Report

    Report Number
    1831750-2010-01692
    Event Type
    Malfunction
    Date Received
    August 3, 2010
    Date of Event
    June 25, 2010
    Report Date
    July 7, 2010
    Manufacturer
    STRYKER CORP, MEDICAL DIV
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    ANY FURTHER INFORMATION FOUND TO BE RELEVANT TO THE INVESTIGATION WILL BE ADDED AND A FOLLOW UP MDR WILL BE SUBMITTED.

    Description of Event or Problem · 1

    IT HAS BEEN REPORTED THAT THE COT WAS ADJUSTED WITH THE FOOT END IN THE LAST NOTCH, THE HEAD END IN THE SECOND BUT LAST NOTCH. WHEN THE PATIENT WAS LYING IN THE COT, THE FOOT END SLID DOWN WITHOUT BEING TOUCHED BY THE PARAMEDICS. WHEN THE PARAMEDICS TRIED TO BRING THE COT BACK TO THE ABOVE DESCRIBED POSITION AND THEREFORE PULLED THE GRIP AT THE FOOT END OF THE LITTER, THE LITTER SLID ONE NOTCH DOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 M-1 COT - BASE HIGH LOAD 28 STRETCHER WHEELED FPO STRYKER CORP, MEDICAL DIV 6100 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK