BEUDAMED
    FDA Adverse Event Summary report: N

    MX-PRO R-3 AMBULANCE COT

    MDR report key: 2132700 · Received June 8, 2011

    Report

    Report Number
    1831750-2011-05696
    Date Received
    June 8, 2011
    Date of Event
    May 11, 2011
    Report Date
    May 12, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KS, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE COT WAS BEING UNLOADED FROM THE BACK OF THE AMBULANCE. AS IT WAS BEING REMOVED, THE BACK WHEEL TIPPED OFF THE END OF THE AMBULANCE. REPORTEDLY THE COT MAY HAVE BEEN AT AN ANGLE. IT WAS REPORTED THAT THE PT FELL. THERE WAS REPORTED PT INVOLVEMENT, HOWEVER IT IS UNK IF THERE ARE ANY ADVERSE CONSEQUENCES TO REPORT.

    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