BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BASIC CONFIGURATION MODEL 6100 BASE

    MDR report key: 2861815 · Received November 8, 2012

    Report

    Report Number
    1831750-2012-11678
    Event Type
    Malfunction
    Date Received
    November 8, 2012
    Date of Event
    October 14, 2012
    Report Date
    October 14, 2012
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    UNIT WAS EVALUATED BY THE CUSTOMER. MANUFACTURER'S INVESTIGATION IS STILL ONGOING, IF ADDITIONAL INFORMATION IS RECEIVED, A FOLLOW-UP REPORT MAY BE SUBMITTED.

    Description of Event or Problem · 1

    OUR CUSTOMER REPORTED TO OUR TECHNICIAN THAT THE COT LEGS WOULD NOT LOCK. THERE WAS NO PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BASIC CONFIGURATION MODEL 6100 BASE WHEELED, STRETCHER FPO STRYKER MEDICAL 6100 NA

    Patients

    Seq Age Sex Outcome Treatment
    1