BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MX-PRO R-3 AMBULANCE COT

    MDR report key: 2221904 · Received July 21, 2011

    Report

    Report Number
    1831750-2011-07461
    Event Type
    Malfunction
    Date Received
    July 21, 2011
    Date of Event
    June 23, 2011
    Report Date
    June 23, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    BENT RELEASE CROSSBAR ON BREAKAWAY HEAD SECTION.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE BREAKAWAY HEAD SECTION WOULD NOT LOCK IN THE UP POSITION. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MX-PRO R-3 AMBULANCE COT STRETCHER, WHEELED FPO STRYKER MEDICAL 6082 NA

    Patients

    Seq Age Sex Outcome Treatment
    1