BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MX-PRO AMBULANCE COT

    MDR report key: 2891338 · Received November 29, 2012

    Report

    Report Number
    1831750-2012-12369
    Event Type
    Malfunction
    Date Received
    November 29, 2012
    Date of Event
    November 2, 2012
    Report Date
    November 2, 2012
    Manufacturer
    STRYKER MEDICAL
    Product Code
    INK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    SCREW WAS MISSING, HEADSECITON WOULD NOT LATCH UP.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE BREAK AWAY HEAD SECTION WOULD NOT LOCK. THERE WAS PT INVOLVEMENT; HOWEVER, NO ADVERSE CONSEQUENCES WERE REPORTED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1