BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWER PRO AMBULANCE COT

    MDR report key: 1942697 · Received December 10, 2010

    Report

    Report Number
    1831750-2010-04725
    Event Type
    Malfunction
    Date Received
    December 10, 2010
    Date of Event
    November 12, 2010
    Report Date
    November 12, 2010
    Manufacturer
    STRYKER CORP., MEDICAL DIVISION
    Product Code
    INK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    OTHER: FLUID LEAK AT THE PISTON SHAFT.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE COT WAS LEAKING FLUID. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1