FDA Adverse Event
Malfunction
Summary report: N
MX-PRO R-3 AMBULANCE COT
MDR report key: 2022494
·
Received February 15, 2011
Report
- Report Number
- 1831750-2011-01396
- Event Type
- Malfunction
- Date Received
- February 15, 2011
- Date of Event
- January 14, 2011
- Report Date
- January 17, 2011
- Manufacturer
- STRYKER MEDICAL
- Product Code
- FPO
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT A FEMALE PT SUFFERED FROM A CONTUSION WHEN THE COT TIPPED. NO MEDICAL INTERVENTION WAS REQUIRED. THE COT WAS INSPECTED AND IT WAS DETERMINED THAT THE COT WAS NOT AT FAULT AND WAS OPERATING TO SPECIFICATION. THERE WAS A MISCOMMUNICATION AS THE TWO MEDICS WERE PULLING THE COT OUT OF THE AMBULANCE. ONE MEDIC RELEASED THE SAFETY BAR PRIOR TO THE WHEELS BEING LOWERED. PT INVOLVEMENT HAS BEEN REPORTED, HOWEVER, NO ADVERSE CONSEQUENCES TO REPORT.
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 | 52 YR |