BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BASIC CONFIGURATION MODEL 6100 BASE

    MDR report key: 1821301 · Received August 26, 2010

    Report

    Report Number
    1831750-2010-01919
    Event Type
    Malfunction
    Date Received
    August 26, 2010
    Date of Event
    July 30, 2010
    Report Date
    July 30, 2010
    Manufacturer
    STRYKER CORP. MEDICAL DIVISION
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    ADDITIONAL INFORMATION FOUND TO BE RELEVANT BY THE MANUFACTURER WILL BE ADDED TO THE INVESTIGATION, AND A FOLLOW-UP MDR WILL BE SUBMITTED.

    Description of Event or Problem · 1

    IT HAS BEEN REPORTED THE COT DROPPED FROM THE AMBULANCE WHILE BEING REMOVED. ALTHOUGH THERE WAS A PATIENT ON THE, NO ADVERSE CONSEQUENCE OCCURRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BASIC CONFIGURATION MODEL 6100 BASE STRETCHER WHEELED FPO STRYKER CORP. MEDICAL DIVISION 6100 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 24 YR