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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 Problem Improper or Incorrect Procedure or Method (2017)
Patient Problem Death (1802)
Event Date 03/10/2017
Event Type  Death  
Event Description
It was alleged that the ambulance was transporting a patient on an ems cot to the hospital, when the ambulance was involved in an accident.It was alleged that the accident lead to a delay in patient care, in which the patient passed away before another ambulance arrived to complete the transport.This event is being reported due to the patient involvement with the cot in which the patient was being transported on during the accident event.The ems cot was not alleged to have caused or contributed to the event.
 
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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 Key6486741
MDR Text Key72589291
Report Number0001831750-2017-00120
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
Report Date 04/12/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator No Information
Device Catalogue Number6500000000
Was Device Available for Evaluation? Yes
Initial Date Manufacturer Received 03/16/2017
Initial Date FDA Received04/12/2017
Was Device Evaluated by Manufacturer? No
Date Device Manufactured07/28/2010
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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