FDA Adverse Event
Malfunction
Summary report: N
PERFORMANCE PRO AMBULANCE COT
MDR report key: 1972523
·
Received December 30, 2010
Report
- Report Number
- 1831750-2010-05437
- Event Type
- Malfunction
- Date Received
- December 30, 2010
- Date of Event
- December 3, 2010
- Report Date
- December 3, 2010
- Manufacturer
- STRYKER CORP., MEDICAL DIV.
- Product Code
- INK
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
ADJUSTMENT RACKS.
Description of Event or Problem · 1
IT WAS REPORTED BY SERVICE REPORT THAT THE RELEASE HANDLE IS DIFFICULT TO PULL/AND COT WILL NOT ROLL SMOOTHLY. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PERFORMANCE PRO AMBULANCE COT | STRETCHER, WHEELED | INK | STRYKER CORP., MEDICAL DIV. | 6085 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |