BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MX-PRO R3 AMBULANCE COT

    MDR report key: 2221961 · Received August 17, 2011

    Report

    Report Number
    1831750-2011-08778
    Event Type
    Malfunction
    Date Received
    August 17, 2011
    Date of Event
    July 20, 2011
    Report Date
    July 20, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    INK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    OTHER - WHEEL ASSEMBLY.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE MOLDED WHEEL WAS BROKEN OUT AT THE CENTER. NO PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MX-PRO R3 AMBULANCE COT STRETCHER, WHEELED INK STRYKER MEDICAL 6082 NA

    Patients

    Seq Age Sex Outcome Treatment
    1