BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MX-PRO R-3 AMBULANCE COT

    MDR report key: 2389180 · Received December 15, 2011

    Report

    Report Number
    1831750-2011-13404
    Event Type
    Injury
    Date Received
    December 15, 2011
    Date of Event
    November 16, 2011
    Report Date
    November 16, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT AN AMBULANCE WAS IN AN ACCIDENT. THE AMBULANCE WAS TRAVELING AT 75 MPH WHEN THE AMBULANCE ROLLED OVER 3 TIMES. THE COT REPORTEDLY BROKE OUT OF THE COT FASTENER. THE RETAINING POST BROKE OFF. THE CUSTOMER STATED THAT THERE WAS PT INVOLVEMENT AND ADVERSE CONSEQUENCES REPORTED FOR THE PT.

    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 Other