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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO POWER PRO AMBULANCE COT - OBS; STRETCHER, WHEELED
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STRYKER MEDICAL-KALAMAZOO POWER PRO AMBULANCE COT - OBS; STRETCHER, WHEELED Back to Search Results
Catalog Number 6500000000
Device Problems Detachment Of Device Component (1104); Component Falling (1105); Unintended Movement (3026)
Patient Problems No Consequences Or Impact To Patient (2199); No Information (3190)
Event Date 01/22/2018
Event Type  malfunction  
Manufacturer Narrative
It was reported that the emt at the head end "tweaked" his back as he was holding the head end of the cot when it allegedly collapsed and he was pulled downward.The emt went to the hospital and took a short leave from work but is back at work.The emt did not need physical therapy, however it was not determined if the emt was prescribed medication.
 
Event Description
It was reported that 2 emts were transferring the cot with a patient in the "lower" set load height with one emt located at the head end and one at the foot end.The emt at the head end was allegedly holding onto the cot at the head end as the emt at the foot end allegedly raised the cot legs.As the cot was raising, the cot allegedly dropped to the ground.The 2 emts then allegedly noticed that the hydraulics rod was detached from the mating component.The 2 emts then loaded the cot manually and there was no delay in transport.
 
Manufacturer Narrative
This issue was resolved for the customer by replacing the hydraulic cylinder assembly, the rod end cylinder, and associated fastener.
 
Event Description
It was reported that 2 emts were transferring the cot with a patient in the "lower" set load height with one emt located at the head end and one at the foot end.The emt at the head end was allegedly holding onto the cot at the head end as the emt at the foot end allegedly raised the cot legs.As the cot was raising, the cot allegedly dropped to the ground.The 2 emts then allegedly noticed that the hydraulics rod was detached from the mating component.The 2 emts then loaded the cot manually and there was no delay in transport.
 
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Brand Name
POWER PRO AMBULANCE COT - OBS
Type of Device
STRETCHER, WHEELED
Manufacturer (Section D)
STRYKER MEDICAL-KALAMAZOO
3800 east centre avenue
portage MI 49002
Manufacturer (Section G)
STRYKER MEDICAL-KALAMAZOO
3800 east centre avenue
portage MI 49002
Manufacturer Contact
brian thompson
3800 east centre avenue
portage, MI 49002
2693292100
MDR Report Key7281800
MDR Text Key100580920
Report Number0001831750-2018-00108
Device Sequence Number1
Product Code FPO
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type user facility
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 04/30/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/20/2018
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator No Information
Device Catalogue Number6500000000
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Date Manufacturer Received01/22/2018
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured03/30/2010
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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