BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    M1 AMBULANCE COT

    MDR report key: 1940265 · Received December 9, 2010

    Report

    Report Number
    1831750-2010-04635
    Event Type
    Malfunction
    Date Received
    December 9, 2010
    Date of Event
    November 22, 2010
    Report Date
    November 22, 2010
    Manufacturer
    STRYKER CORP., MEDICAL DIV.
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE CLIP ON THE RED AND GREEN GAS CYLINDER IS BLOCKED, AND AN OIL LEAK WAS OBSERVED. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 M1 AMBULANCE COT STRETCHER, WHEELED FPO STRYKER CORP., MEDICAL DIV. 6100

    Patients

    Seq Age Sex Outcome Treatment
    1