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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO POWER PRO AMBULANCE COT; STRETCHER, WHEELED

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STRYKER MEDICAL-KALAMAZOO POWER PRO AMBULANCE COT; STRETCHER, WHEELED Back to Search Results
Catalog Number 6506000000
Device Problem Component Falling (1105)
Patient Problem Injury (2348)
Event Date 02/26/2018
Event Type  Injury  
Manufacturer Narrative
The user facility was not able to give any further information regarding any medical treatment for the user who was allegedly injured.The user facility confirmed that this was a use error issue and that they would be conducting remedial training with their staff.No defect was identified with the device.
 
Event Description
It was reported that the cot allegedly dropped and injured the user.It was reported that the user pulled the manual release and hit down button on the electric control button assembly at the same time.
 
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Brand Name
POWER PRO AMBULANCE COT
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 Key7371192
MDR Text Key103483483
Report Number0001831750-2018-00172
Device Sequence Number1
Product Code FPO
UDI-Device Identifier07613327261639
UDI-Public(01)07613327261639
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
Report Date 03/26/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/26/2018
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator No Information
Device Catalogue Number6506000000
Was Device Available for Evaluation? Yes
Date Manufacturer Received02/26/2018
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured05/24/2017
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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