BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWER PRO AMBULANCE COT

    MDR report key: 2133867 · Received May 12, 2011

    Report

    Report Number
    1831750-2011-04603
    Event Type
    Malfunction
    Date Received
    May 12, 2011
    Date of Event
    January 31, 2011
    Report Date
    January 31, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    INK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CT, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    RESULTS: FLUID INTRUSION IN THE BUTTON ASSEMBLY. UNABLE TO DETERMINE THE TYPE OF FLUID INVOLVED IN THE ALLEGED INCIDENT.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THERE IS FLUID INTRUSION IN THE BUTTON ASSEMBLY OF THE COT. IT CANNOT BE DETERMINED WHAT TYPE OF FLUID HAS INTRUDED INTO THE BUTTON ASSEMBLY. NO PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 POWER PRO AMBULANCE COT STRETCHER, WHEELED INK STRYKER MEDICAL 6500 NA

    Patients

    Seq Age Sex Outcome Treatment
    1