BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MX-PRO R-3 AMBULANCE COT

    MDR report key: 1972501 · Received December 30, 2010

    Report

    Report Number
    1831750-2010-05431
    Event Type
    Malfunction
    Date Received
    December 30, 2010
    Date of Event
    December 6, 2010
    Report Date
    December 6, 2010
    Manufacturer
    STRYKER CORP., MEDICAL DIV.
    Product Code
    INK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    RI, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    BASE TUBE.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE BASE TUBE AND HEAD LEFT CASTER ARE BROKEN. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK