BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWER PRO AMBULANCE COT

    MDR report key: 2931486 · Received December 28, 2012

    Report

    Report Number
    1831750-2012-13456
    Event Type
    Malfunction
    Date Received
    December 28, 2012
    Date of Event
    December 5, 2012
    Report Date
    December 5, 2012
    Manufacturer
    STRYKER MEDICAL
    Product Code
    INK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    OUTER BASE TUBE WELDMENTS AND ASSOCIATED HARDWARE.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE BASE TUBE WELDMENTS AND ASSOCIATED HARDWARE WERE BROKEN. NO PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCES REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 POWER PRO AMBULANCE COT WHEELED, STRETCHER INK STRYKER MEDICAL 6500 NA

    Patients

    Seq Age Sex Outcome Treatment
    1