BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PERFORMANCE PRO AMBULANCE COT

    MDR report key: 2243270 · Received September 1, 2011

    Report

    Report Number
    1831750-2011-09390
    Event Type
    Malfunction
    Date Received
    September 1, 2011
    Date of Event
    August 4, 2011
    Report Date
    August 4, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    RESULT - HEIGHT ADJUSTMENT RACK.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE BOTH HEIGHT ADJUSTMENT RACKS WERE BENT AND THE COT WAS STUCK IN THE HIGH POSITION. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PERFORMANCE PRO AMBULANCE COT STRETCHER, WHEELED FPO STRYKER MEDICAL 6085 NA

    Patients

    Seq Age Sex Outcome Treatment
    1