BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    M1 AMBULANCE COT

    MDR report key: 2110415 · Received April 25, 2011

    Report

    Report Number
    1831750-2011-03931
    Event Type
    Malfunction
    Date Received
    April 25, 2011
    Date of Event
    March 28, 2011
    Report Date
    March 30, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    INK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    GREEN GAS DAMPENER.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE GREEN DAMPENER IS LOOSING OIL. THERE WAS NO REPORTED PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 M1 AMBULANCE COT STRETCHER, WHEELED INK STRYKER MEDICAL 6100 NA

    Patients

    Seq Age Sex Outcome Treatment
    1