BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FERNO-WASHINGTON, INC.

    MDR report key: 1204546 · Received October 20, 2008

    Report

    Report Number
    MW5008683
    Event Type
    Injury
    Date Received
    October 20, 2008
    Date of Event
    October 16, 2008
    Report Date
    October 17, 2008
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    CREW WAS PREPARING TO LOAD PT INTO AMBULANCE ON FERNO STRETCHER; WHEN EQUIPMENT WAS PUT INTO THE "LOAD" POSITION, THE WHEELS (FOOT END) COLLAPSED CAUSING FOOT END OF STRETCHER TO STRIKE THE GROUND. PT THEN COMPLAINED OF LOWER BACK PAIN WHICH WAS NOT THE ORIGINAL COMPLAINT. CREW STATES THE STRETCHER "LOCK" WAS IN PLACE AND HAD NOT BEEN DISENGAGED BY EITHER OF THEM. PT WAS TRANSPORTED TO ER FOR EVAL OF INITIAL COMPLAINT AND AFOREMENTIONED COMPLAINT. IT IS UNK IF PT WAS ADMITTED TO HOSPITAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FERNO-WASHINGTON, INC. STRETCHER FPO 93P NA

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Hospitalization