BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    M-1 COT - BASE HIGH LOAD 28

    MDR report key: 2022511 · Received February 15, 2011

    Report

    Report Number
    1831750-2011-01395
    Event Type
    Malfunction
    Date Received
    February 15, 2011
    Date of Event
    January 15, 2011
    Report Date
    January 17, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SI
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    STRYKER DISTRIBUTOR IN SLOVENIA REPORTED, THERE WAS A BROKEN PIN. THE AMBULANCE WAS NOT INVOLVED IN TRAFFIC ACCIDENT. IT WAS FURTHER REPORTED, THE BROKEN PIN CAUSED DAMAGE ON THE AMBULANCE'S REAR DOOR. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES HAVE BEEN REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 M-1 COT - BASE HIGH LOAD 28 STRETCHER, WHEELED FPO STRYKER MEDICAL 6100 NA

    Patients

    Seq Age Sex Outcome Treatment
    1