BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MX-PRO R-3 AMBULANCE COT

    MDR report key: 2091042 · Received May 11, 2011

    Report

    Report Number
    1831750-2011-04560
    Event Type
    Malfunction
    Date Received
    May 11, 2011
    Date of Event
    April 13, 2011
    Report Date
    April 13, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CT, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    RESTRAINT STRAPS; WHEEL ASSEMBLY.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE COT WAS MISSING RESTRAINT STRAPS AND THE WHEEL ASSEMBLY WAS WORN. THERE WAS PT INVOLVEMENT, HOWEVER NO ADVERSE CONSEQUENCES ARE REPORTED.

    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