FDA Adverse Event
Injury
Summary report: N
M-1 COT - BASE HIGH LOAD 28
MDR report key: 2221580
·
Received August 18, 2011
Report
- Report Number
- 1831750-2011-08846
- Event Type
- Injury
- Date Received
- August 18, 2011
- Date of Event
- July 20, 2011
- Report Date
- July 22, 2011
- Manufacturer
- STRYKER MEDICAL
- Product Code
- FPO
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
INVESTIGATION UNDERWAY.
Description of Event or Problem · 1
IT WAS REPORTED THAT WHEN UNLOADING THE PATIENT FROM THE AMBULANCE, THE COT ROLLED OUT OF THE AMBULANCE AND TILTED OVER. ONE MEDIC RECEIVED BRUISING AND THE OTHER RECEIVED AN INJURY TO THE KNEE. THERE WAS PATIENT INVOLVEMENT AND ADVERSE CONSEQUENCES REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | M-1 COT - BASE HIGH LOAD 28 | STRETCHER, WHEELED | FPO | STRYKER MEDICAL | 6100 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |