BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWER PRO AMBULANCE COT

    MDR report key: 1901054 · Received November 10, 2010

    Report

    Report Number
    1831750-2010-03664
    Event Type
    Malfunction
    Date Received
    November 10, 2010
    Date of Event
    October 15, 2010
    Report Date
    October 15, 2010
    Manufacturer
    STRYKER CORP., MEDICAL DIV.
    Product Code
    INK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    OTHER: HOSE TWISTED AND LEAKING.

    Description of Event or Problem · 1

    IT WAS REPORTED THROUGH A SERVICE REPORT THAT THE HOSE WAS TWISTED AND LEAKING FROM THE HOSE. IT IS UNKNOWN IF THERE WAS PATIENT INVOLVEMENT OR IF THERE ARE ADVERSE CONSEQUENCES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 POWER PRO AMBULANCE COT STRETCHER, WHEELED INK STRYKER CORP., MEDICAL DIV. 6500 NA

    Patients

    Seq Age Sex Outcome Treatment
    1