FDA Adverse Event
Malfunction
Summary report: N
M1 AMBULANCE COT
MDR report key: 2070354
·
Received April 18, 2011
Report
- Report Number
- 1831750-2011-03702
- Event Type
- Malfunction
- Date Received
- April 18, 2011
- Date of Event
- January 1, 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 FRONT LEGS DID NOT LOCK INTO PLACE AND THEREFORE SLID DOWN WITH A PT ON IT. THERE WAS PT INVOLVEMENT, HOWEVER NO ADVERSE CONSEQUENCES WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | M1 AMBULANCE COT | STRETCHER, WHEELED | FPO | STRYKER MEDICAL | 6100 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |