BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BASIC CONFIGURATION MODEL 6100 BASE

    MDR report key: 1921886 · Received December 7, 2010

    Report

    Report Number
    1831750-2010-04568
    Event Type
    Malfunction
    Date Received
    December 7, 2010
    Date of Event
    November 25, 2010
    Report Date
    November 25, 2010
    Manufacturer
    STRYKER CORP., MEDICAL DIVISION
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    OTHER: STEERING SYSTEM.

    Description of Event or Problem · 1

    IT WAS REPORTED BY THE CUSTOMER THAT STEERING SYSTEM OF THE COT WAS IMPOSSIBLE TO MOVE. IT WAS ALSO REPORTED THAT DURING CALIBRATION THE SHOULDER BOLT OF THE BALL PLUNGER WAS DAMAGED. NO ADVERSE CONSEQUENCES OR INJURIES WERE REPORTED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1