FDA Adverse Event Other Summary report: N

STRYKER COT - MODEL UNK

MDR report key: 1812581 · Received August 18, 2010

Report

Report Number
1831750-2010-01870
Event Type
Other
Date Received
August 18, 2010
Date of Event
November 23, 2009
Report Date
July 28, 2010
Manufacturer
STRYKER CORP., MEDICAL DIV
Product Code
FPO
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

EVENT OCCURRED IN 2009 AND WAS JUST NOW REPORTED. THE CURRENT STATE OF THE DEVICE INVOLVED IN THE INCIDENT IS NOT YET KNOWN. FURTHER INFO FOUND TO BE RELEVANT BY THE MFR WILL BE ADDED TO THIS INVESTIGATION. A F/U MDR WILL BE SUBMITTED.

Description of Event or Problem · 1

IT HAS BEEN REPORTED THERE WAS AN AMBULANCE TRAFFIC ACCIDENT. IN ADDITION TO THE DRIVER AND PASSENGER SEATED IN THE CAB, THE REAR COMPARTMENT OF THE AMBULANCE CONTAINED A NEONATE IN RESPIRATORY DISTRESS, A RESPIRATORY THERAPIST, AND A NURSE. THE NEONATE WAS BEING TRANSPORTED IN AN ISOLETTE THAT SAT ATOP A COT. DURING THE TRAFFIC ACCIDENT, A LEG OF THE STRYKER COT ALLEGEDLY BROKE CLEANLY FROM ITS LOCKED POSITION IN THE FLOOR OF THE AMBULANCE AND THE COT TOPPLED OVER INTO THE NURSE. THE BABY REPORTEDLY WAS TOSSED INTO THE AIR AND LANDED IN THE NURSE'S LAP ON THE FLOOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STRYKER COT - MODEL UNK STRETCHER WHEELED FPO STRYKER CORP., MEDICAL DIV UNK NA

Patients

Seq Age Sex Outcome Treatment
1 UNK Other