BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MX-PRO R-3 AMBULANCE COT

    MDR report key: 2830441 · Received October 10, 2012

    Report

    Report Number
    1831750-2012-10653
    Event Type
    Malfunction
    Date Received
    October 10, 2012
    Date of Event
    September 12, 2012
    Report Date
    September 12, 2012
    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

    OXYGEN BOTTLE HOLDER STRAPS.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE SCREWS THAT ATTACH THE FOOT SECTION TO THE COT WERE MISSING AND THE OXYGEN BOTTLE HOLDER STRAPS WERE WORN. THE WORN STRAPS COULD POTENTIALLY RESULT IN THE OXYGEN BOTTLE NO LONGER BEING SECURELY ATTACHED TO THE HOLDER. NO PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MX-PRO R-3 AMBULANCE COT WHEELED, STRETCHER INK STRYKER MEDICAL 6080 NA

    Patients

    Seq Age Sex Outcome Treatment
    1