BEUDAMED
    FDA Adverse Event Death Summary report: N

    FLOOR MOUNT FASTENER SNGL PLT

    MDR report key: 2820728 · Received October 31, 2012

    Report

    Report Number
    1831750-2012-11424
    Event Type
    Death
    Date Received
    October 31, 2012
    Date of Event
    September 13, 2012
    Report Date
    October 4, 2012
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT HAS BEEN REPORTED THAT A (B)(4) COUNTY EMS AMBULANCE WAS INVOLVED IN A COLLISION. THE COT FASTENER DID NOT HOLD THE COT IN PLACE RESULTING IN A SIGNIFICANT INJURY TO THE PT WHO THEN PASSED AWAY THE NEXT DAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FLOOR MOUNT FASTENER SNGL PLT ACCESSORY TO THE WHEELED, STRETCHER FPO STRYKER MEDICAL 6370 NA

    Patients

    Seq Age Sex Outcome Treatment
    1