BEUDAMED
    FDA Adverse Event Other Summary report: N

    MX-PRO R-3 AMBULANCE COT

    MDR report key: 1952130 · Received December 30, 2010

    Report

    Report Number
    1831750-2010-05379
    Event Type
    Other
    Date Received
    December 30, 2010
    Date of Event
    November 28, 2010
    Report Date
    December 2, 2010
    Manufacturer
    STRYKER CORP., MEDICAL DIV.
    Product Code
    INK
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WY, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    IT WAS REPORTED THE EMT IN THE BACK OF THE AMBULANCE EXPERIENCED A HIP INJURY DUE TO HANGING UPSIDE DOWN IN THE SEATBELT.

    Description of Event or Problem · 1

    IT HAS BEEN REPORTED BY THE CUSTOMER THAT THE AMBULANCE WAS IN AN ACCIDENT AND TIPPED OVER. THE MOUNTING SYSTEM AND COT CAME LOOSE IN THE AMBULANCE. THERE WAS NO PATIENT INVOLVEMENT REPORTED, HOWEVER, THERE WAS AN ADVERSE CONSEQUENCE TO REPORT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MX-PRO R-3 AMBULANCE COT STRETCHER, WHEELED INK STRYKER CORP., MEDICAL DIV. 6082 NA

    Patients

    Seq Age Sex Outcome Treatment
    1