BEUDAMED
    FDA Adverse Event Injury Summary report: N

    35A AMBULANCE STRETCHER

    MDR report key: 1001972 · Received February 21, 2008

    Report

    Report Number
    1523574-2008-00004
    Event Type
    Injury
    Date Received
    February 21, 2008
    Date of Event
    January 10, 2008
    Report Date
    February 21, 2008
    Manufacturer
    FERNO-WASHINGTON, INC.
    Product Code
    FPO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CT, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    MANUFACTURER'S SERVICE COMPANY HAS BEEN DISPATCHED TO THE CUSTOMER'S LOCATION TO EVALUATE THIS 11 Y/O OLD PRODUCT. INVESTIGATION CONTINUES.

    Description of Event or Problem · 1

    AMBULANCE STRETCHER DROPPED ONE LEVEL WITH PT ON BOARD. PT WAS STATUS POST LEFT KNEE SURGERY. LEFT KNEE PAIN WAS ELEVATED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 35A AMBULANCE STRETCHER 35A AMBULANCE STRETCHER FPO FERNO-WASHINGTON, INC. 35-A

    Patients

    Seq Age Sex Outcome Treatment
    1 YR Required Intervention