FDA Adverse Event
Malfunction
Summary report: N
BASIC CONFIGURATION MODEL 6100 BASE
MDR report key: 2861935
·
Received October 31, 2012
Report
- Report Number
- 1831750-2012-11400
- Event Type
- Malfunction
- Date Received
- October 31, 2012
- Date of Event
- September 27, 2012
- Report Date
- October 5, 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
RED RELEASE HANDLE AND TORSION SPRING.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE COT DROPPED AT THE HEAD END. THERE WAS PT INVOLVEMENT, BUT NO ADVERSE CONSEQUENCES WERE REPORTED.
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 |