BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FERNO MODEL 28 ROLL-IN CHAIR COT

    MDR report key: 1192804 · Received October 8, 2008

    Report

    Report Number
    1523574-2008-00010
    Event Type
    Injury
    Date Received
    October 8, 2008
    Date of Event
    May 14, 2006
    Report Date
    October 8, 2008
    Manufacturer
    FERNO-WASHINGTON, INC.
    Product Code
    FPO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    MFR HAS REQUESTED SERIAL NUMBER AND INSPECTION OF THE PRODUCT. END USER (FIRE DEPARTMENT) INSPECTED THE PRODUCT IMMEDIATELY AFTER THE INCIDENT AND FOUND NO DEFICIENCY.

    Description of Event or Problem · 1

    LAWSUIT FILED AGAINST MANUFACTURER ALLEGES PATIENT'S HEAD HIT RAMP WHILE BEING UNLOADED FROM AN AMBULANCE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FERNO MODEL 28 ROLL-IN CHAIR COT FERNO MODEL 28 ROLL-IN CHAIR COT FPO FERNO-WASHINGTON, INC. 28

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization