FDA Adverse Event
Malfunction
Summary report: N
EZ-PRO R4 AMBUL COT OBS(5/08)
MDR report key: 3222490
·
Received July 12, 2013
Report
- Report Number
- 0001831750-2013-06281
- Event Type
- Malfunction
- Date Received
- July 12, 2013
- Date of Event
- June 14, 2013
- Report Date
- June 14, 2013
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- FPO
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE LOCKING PIN CAME OUT OF THE COT WHICH CAN AFFECT LOCKING OF THE BASE. 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 |
|---|---|---|---|---|---|---|---|
| 322346 | EZ-PRO R4 AMBUL COT OBS(5/08) | STRETCHER, WHEELED | FPO | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |