BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    6083 AMBULANCE COT

    MDR report key: 2913380 · Received January 14, 2013

    Report

    Report Number
    0001831750-2013-00046
    Event Type
    Malfunction
    Date Received
    January 14, 2013
    Date of Event
    December 19, 2012
    Report Date
    December 19, 2012
    Manufacturer
    STRYKER MEDICAL-KALAMAZOO
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4) - IV POLE.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE IV POLE TOP PORTION CAME OUT AND HAD THE POTENTIAL TO FALL IN AN UNINTENDED DIRECTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    20994 6083 AMBULANCE COT WHEELED, STRETCHER FPO STRYKER MEDICAL-KALAMAZOO

    Patients

    Seq Age Sex Outcome Treatment
    1