FDA Adverse Event
Malfunction
Summary report: N
MX-PRO R-3 AMBULANCE COT
MDR report key: 2022107
·
Received March 10, 2011
Report
- Report Number
- 1831750-2011-02334
- Event Type
- Malfunction
- Date Received
- March 10, 2011
- Date of Event
- February 12, 2011
- Report Date
- February 12, 2011
- Manufacturer
- STRYKER MEDICAL
- Product Code
- FPO
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
HEAD SECTION ASSEMBLY PIVOT BRACKET; WHEEL ASSEMBLY.
Description of Event or Problem · 1
IT WAS REPORTED BY SERVICE REPORT THAT THE COT HAD A BROKEN HEAD ASSEMBLY AND REPLACED WHEEL ASSEMBLY. 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 | STRETCHER, WHEELED | FPO | STRYKER MEDICAL | 6082 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |