FDA Adverse Event
Malfunction
Summary report: N
M-1 COT - BASE HIGH LOAD 28
MDR report key: 3212578
·
Received July 9, 2013
Report
- Report Number
- 0001831750-2013-06170
- Event Type
- Malfunction
- Date Received
- July 9, 2013
- Date of Event
- June 10, 2013
- Report Date
- June 11, 2013
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- FPO
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT THE RETAINING POST WAS BROKEN WHICH COULD AFFECT THE COT FASTENING TO THE FASTENER. NO PATIENT WAS AFFECTED AND NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 313386 | M-1 COT - BASE HIGH LOAD 28 | STRETCHER, WHEELED | FPO | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |