BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    6083 AMBULANCE COT

    MDR report key: 2911582 · Received January 11, 2013

    Report

    Report Number
    0001831750-2013-00035
    Event Type
    Malfunction
    Date Received
    January 11, 2013
    Date of Event
    December 28, 2012
    Report Date
    December 28, 2012
    Manufacturer
    STRYKER MEDICAL-KALAMAZOO
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    HEIGHT ADJUSTMENT RACKS WERE BENT.

    Additional Manufacturer Narrative · 1

    IT WAS FURTHER REPORTED BY SERVICE REPORT THAT THE WHEEL WAS WORN.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE COT WOULD NOT LATCH IN THE UPPER POSITION WITH THE PATIENT LOADED.

    Description of Event or Problem · 1

    IT WAS FURTHER REPORTED BY SERVICE REPORT THAT THE WHEEL WAS WORN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    18002 6083 AMBULANCE COT WHEELED, STRETCHER FPO STRYKER MEDICAL-KALAMAZOO

    Patients

    Seq Age Sex Outcome Treatment
    1