FDA Adverse Event
Malfunction
Summary report: N
BASIC CONFIGURATION MODEL 6100 BASE
MDR report key: 1982311
·
Received January 13, 2011
Report
- Report Number
- 1831750-2011-00471
- Event Type
- Malfunction
- Date Received
- January 13, 2011
- Date of Event
- December 15, 2010
- Report Date
- December 16, 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 TO THE SALES REPRESENTATIVE FROM THE EMERGENCY SERVICES THAT DURING TRANSFER OF THE PATIENT FROM THE COT INTO THE BED, IT WAS NOT POSSIBLE TO LOCK THE HEIGHT ADJUSTMENT AT THE HEAD END OF THE COT AT THE SECOND HIGHEST LEVEL. HE FURTHER STATES THAT NOBODY WAS IMPAIRED AND THAT THE COT WAS TAKEN OUT OF SERVICE IMMEDIATELY. THERE ARE NO REPORTED ADVERSE CONSEQUENCES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BASIC CONFIGURATION MODEL 6100 BASE | STRETCHER, WHEELED | FPO | STRYKER CORP., MEDICAL DIV. | 6100 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |