BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWER PRO AMBULANCE COT

    MDR report key: 1984627 · Received January 19, 2011

    Report

    Report Number
    1831750-2011-00667
    Event Type
    Malfunction
    Date Received
    January 19, 2011
    Date of Event
    December 21, 2010
    Report Date
    December 21, 2010
    Manufacturer
    STRYKER CORP., MEDICAL DIV.
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    STRAP.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE PLASTIC LOOP THAT SECURES O2 BROKE. IT IS UNK IF THERE WAS PT INVOLVEMENT OR IF THERE ARE ADVERSE CONSEQUENCES TO REPORT.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1