BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BASIC CONFIGURATION MODEL 6100 BASE

    MDR report key: 2070353 · Received April 18, 2011

    Report

    Report Number
    1831750-2011-03704
    Event Type
    Malfunction
    Date Received
    April 18, 2011
    Date of Event
    March 22, 2011
    Report Date
    March 22, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    INVESTIGATION UNDERWAY.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE COT SLID DOWN AT THE HEAD END. THERE WAS REPORTED PT INVOLVEMENT HOWEVER THERE HAVE BEEN NO REPORTED ADVERSE CONSEQUENCES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BASIC CONFIGURATION MODEL 6100 BASE STRETCHER, WHEELED FPO STRYKER MEDICAL 6100 NA

    Patients

    Seq Age Sex Outcome Treatment
    1