BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    M-1 COT

    MDR report key: 2000090 · Received February 18, 2011

    Report

    Report Number
    1831750-2011-01567
    Event Type
    Malfunction
    Date Received
    February 18, 2011
    Date of Event
    January 6, 2011
    Report Date
    January 21, 2011
    Manufacturer
    STRYKER MEDICAL
    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 THE SCREW BROKE OFF OF THE DAMPENER. THERE HAS BEEN NO REPORTED PT INVOLVEMENT OR ADVERSE CONSEQUENCES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 M-1 COT STRETCHER, WHEELED FPO STRYKER MEDICAL 6100 NA

    Patients

    Seq Age Sex Outcome Treatment
    1