BEUDAMED
    FDA Adverse Event Injury Summary report: N

    M-1 COT - BASE HIGH LOAD 28

    MDR report key: 2062422 · Received April 6, 2011

    Report

    Report Number
    1831750-2011-03343
    Event Type
    Injury
    Date Received
    April 6, 2011
    Date of Event
    January 14, 2011
    Report Date
    March 10, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THE HEAD END OF THE COT SLID FROM MID HEIGHT DURING USE. PT ALLEGEDLY INCURRED BACK AND HEAD PAIN. THERE WAS PT INVOLVEMENT AND ADVERSE CONSEQUENCES 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 Other