BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EZ-PRO R4 AMBUL COT

    MDR report key: 2113639 · Received May 24, 2011

    Report

    Report Number
    1831750-2011-04986
    Event Type
    Malfunction
    Date Received
    May 24, 2011
    Date of Event
    April 27, 2011
    Report Date
    April 27, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    CASTER HORN.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE BASE TUBES WERE CRACKED AND THE CASTERS WERE UNABLE TO PIVOT. IT IS UNKNOWN IF THERE WAS PATIENT INVOLVEMENT OR IF THERE ARE ADVERSE CONSEQUENCES TO REPORT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EZ-PRO R4 AMBUL COT STRETCHER, WHEELED FPO STRYKER MEDICAL 6092 NA

    Patients

    Seq Age Sex Outcome Treatment
    1