BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EZ-PRO R4 AMBUL COT

    MDR report key: 2191406 · Received July 28, 2011

    Report

    Report Number
    1831750-2011-07810
    Event Type
    Malfunction
    Date Received
    July 28, 2011
    Date of Event
    June 30, 2011
    Report Date
    June 30, 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

    TROLLEY SUPPORT WELDMENT; TRACK ROLLER ASSEMBLY.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE COT WILL NOT LOCK IN FULL HEIGHT POSITION DUE TO WORN LOCKING MECHANISM COMPONENTS. NO PT 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