FDA Adverse Event
Malfunction
Summary report: N
M-1 AMBULANCE COT
MDR report key: 1853102
·
Received September 21, 2010
Report
- Report Number
- 1831750-2010-02494
- Event Type
- Malfunction
- Date Received
- September 21, 2010
- Date of Event
- May 23, 2010
- Report Date
- August 26, 2010
- Manufacturer
- STRYKER CORP., MEDICAL DIV.
- Product Code
- FPO
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PL
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
IT HAS BEEN REPORTED THAT DURING THE PT'S TRANSPORT THE FOWLER CYLINDER DID NOT SUPPORT THE FOWLER. THE PT ATTEMPTED TO LEAN BACK AND THE FOWLER DID NOT STAY UPRIGHT. NO ADVERSE CONSEQUENCE ALLEGED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | M-1 AMBULANCE COT | STRETCHER, WHEELED | FPO | STRYKER CORP., MEDICAL DIV. | 6100 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |