BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EZ-PRO R4 AMBUL COT

    MDR report key: 2150252 · Received June 10, 2011

    Report

    Report Number
    1831750-2011-05842
    Event Type
    Malfunction
    Date Received
    June 10, 2011
    Date of Event
    May 11, 2011
    Report Date
    June 2, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    INK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KS, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    LOCK PIN IN LOCK TUBE ASSEMBLY.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE LOCK PINS IN THE LOCK TUBE ASSEMBLY WERE NOT RETRACTING. NO PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1