BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EZ-PRO R4 AMBUL COT

    MDR report key: 1894664 · Received November 5, 2010

    Report

    Report Number
    1831750-2010-03542
    Event Type
    Malfunction
    Date Received
    November 5, 2010
    Date of Event
    October 12, 2010
    Report Date
    October 12, 2010
    Manufacturer
    STRYKER CORP., MEDICAL DIVISION
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED WHILE THE EMT'S WERE CHECKING TO SEE IF THE LOCKING PINS WERE ENGAGED, THE COT COLLAPSED. THERE WAS A PT INVOLVED, HOWEVER, NO ADVERSE CONSEQUENCES WERE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EZ-PRO R4 AMBUL COT STRETCHER, WHEELED FPO STRYKER CORP., MEDICAL DIVISION 6092 NA

    Patients

    Seq Age Sex Outcome Treatment
    1