BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INX FOR INLINE WITH DWL

    MDR report key: 13005615 · Received December 14, 2021

    Report

    Report Number
    1523574-2021-00017
    Event Type
    Injury
    Date Received
    December 14, 2021
    Report Date
    March 7, 2022
    Manufacturer
    FERNO-WASHINGTON, INC.
    Product Code
    FPO
    UDI-DI
    00190790001339
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    A FUNCTIONAL AND VISUAL EVALUATION OF THE STRETCHER WAS COMPLETED. THE TECHNICIAN OBSERVED THE ACTUATOR HARNESS HAD VISIBLE DAMAGE WHICH RESULTED IN INTERMITTENT OPERATION OF THE HYDRAULIC SYSTEM. NO FURTHER DETAILS WERE PROVIDED, AS TO WHETHER, THE MEDIC OR PATIENT SUSTAINED INJURY OR SOUGHT MEDICAL INTERVENTION, AS A RESULT OF THE INCIDENT. THE UNIT WAS REPAIRED AND RETURNED TO SERVICE.

    Description of Event or Problem · 0

    THE CUSTOMER ALLEGES WHILE LOADING A PATIENT INTO THE AMBULANCE THE LEG'S POWER OPTION WAS ALLEGEDLY NOT RESPONDING AND THE MANUAL RELEASE HAD TO BE UTILIZED. AS A RESULT, DURING THE LOADING PROCESS, THE STRETCHER ALLEGEDLY LOWERED FROM THE AMBULANCE CATCHING THE MEDIC'S HAND BETWEEN THE CONTROL PANEL AND THE LOWER UNDERCARRIAGE. THERE WAS NO REPORT OF INJURY HOWEVER; THE MEDIC WAS EVALUATED ON THE SCENE WITH NO MEDICAL INTERVENTION SOUGHT.

    Description of Event or Problem · 0

    THE CUSTOMER ALLEGES WHILE LOADING A PATIENT INTO THE AMBULANCE THE LEG'S POWER OPTION WAS ALLEGEDLY NOT RESPONDING AND THE MANUAL RELEASE HAD TO BE UTILIZED. AS A RESULT, DURING THE LOADING PROCESS, THE STRETCHER ALLEGEDLY LOWERED FROM THE AMBULANCE CATCHING THE MEDIC'S HAND BETWEEN THE CONTROL PANEL AND THE LOWER UNDERCARRIAGE. THERE WAS NO REPORT OF INJURY HOWEVER; THE MEDIC WAS EVALUATED ON THE SCENE WITH NO MEDICAL INTERVENTION SOUGHT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1897824 INX FOR INLINE WITH DWL INX FOR INLINE WITH DWL FPO FERNO-WASHINGTON, INC. 0015811 00190790001339

    Patients

    Seq Age Sex Outcome Treatment
    1 Female Other