FDA Adverse Event
Malfunction
Summary report: N
MX-PRO R-3 AMBULANCE COT
MDR report key: 2143685
·
Received June 3, 2011
Report
- Report Number
- 1831750-2011-05449
- Event Type
- Malfunction
- Date Received
- June 3, 2011
- Date of Event
- May 6, 2011
- Report Date
- May 6, 2011
- Manufacturer
- STRYKER MEDICAL
- Product Code
- INK
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
OTHER: CROSSBAR.
Description of Event or Problem · 1
IT WAS REPORTED BY SERVICE REPORT THAT THE BREAKAWAY HEAD SECTION WOULD NOT LOCK INTO PLACE DUE TO MISSING PIVOT PIN AND RETAINING RINGS AND A DAMAGED CROSSBAR. IT IS UNK IF THERE WAS PT INVOLVEMENT OR IF THERE WERE ADVERSE CONSEQUENCES TO REPORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MX-PRO R-3 AMBULANCE COT | STRETCHER, WHEELED | INK | STRYKER MEDICAL | 6082 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |