FDA Adverse Event Malfunction Summary report: N

M-1 COT - BASE HIGH LOAD 28

MDR report key: 3201945 · Received July 2, 2013

Report

Report Number
0001831750-2013-05959
Event Type
Malfunction
Date Received
July 2, 2013
Date of Event
June 3, 2013
Report Date
June 4, 2013
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FPO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SPECIFIC ROOT CAUSE FOR THE DROP IS UNKNOWN AS THE EVALUATION OF THE COT IDENTIFIED THAT THE UNIT WAS FULLY FUNCTIONAL, WITH NO DEFECTS OR MALFUNCTIONS IDENTIFIED. BASED ON A REVIEW OF PREVIOUS SIMILAR COMPLAINTS, THERE IS A POTENTIAL THAT THE BASE OF THE UNIT MAY NOT HAVE BEEN VERIFIED TO BE LOCKED. THE MANUAL ADVISES THAT THE GRIP ON THE COT SHOULD NOT BE RELAXED UNTIL THE COT IS ENSURED TO BE IN THE LOCKED POSITION. IF THE COT IS NOT LOCKED IN POSITION, A DROP COULD OCCUR.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE COT DROPPED AT THE HEAD END FROM THE HIGHEST LEVEL TO THE LOWEST. THERE WAS PATIENT INVOLVEMENT; HOWEVER, NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE COT DROPPED AT THE HEAD END FROM THE HIGHEST LEVEL TO THE LOWEST. THERE WAS PATIENT INVOLVEMENT; HOWEVER, NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
302873 M-1 COT - BASE HIGH LOAD 28 STRETCHER, WHEELED FPO STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1