BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    M1 AMBULANCE COT

    MDR report key: 2221970 · Received August 17, 2011

    Report

    Report Number
    1831750-2011-08759
    Event Type
    Malfunction
    Date Received
    August 17, 2011
    Date of Event
    July 20, 2011
    Report Date
    July 20, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    SLIDE TUBE SUPPORT.

    Description of Event or Problem · 1

    IT WAS REPORTED WHEN INSTALLING THE M1 UPGRADE KIT, THE TECH NOTICED A FISSURE ON THE SIDE TUBE SUPPORT. THERE WAS NO REPORTED PT INVOLVEMENT OR ADVERSE CONSEQUENCES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 M1 AMBULANCE COT STRETCHER, WHEELED FPO STRYKER MEDICAL 6100 NA

    Patients

    Seq Age Sex Outcome Treatment
    1