BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INX FOR INLINE WITH DWL

    MDR report key: 13724974 · Received March 10, 2022

    Report

    Report Number
    1523574-2022-00002
    Event Type
    Injury
    Date Received
    March 10, 2022
    Date of Event
    February 26, 2022
    Report Date
    July 11, 2022
    Manufacturer
    FERNO-WASHINGTON, INC.
    Product Code
    FPO
    UDI-DI
    00190790001339
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    THE STRETCHER WAS RETURNED TO MANUFACTURER AND A VISUAL AND FUNCTIONAL EVALUATION WAS CONDUCTED. THERE WERE NO OBSERVATIONS OF MECHANICAL ISSUES THAT WOULD CONTRIBUTE TO THE STRETCHER NOT ENGAGING WITH THE HOOK. THERE WERE NO OBSERVATIONS OF STRIKE MARKS FROM A DROP AND THE SAFETY BAIL SWUNG FREELY THROUGH ITS MOTION AND ENGAGED WITH HOOK EVERY TIME DURING THE UNLOADING CYCLE. IT IS SUSPECTED THE EVENT WAS ATTRIBUTED TO UNINTENTIONAL USE ERROR.

    Description of Event or Problem · 0

    THE CUSTOMER REPORTED WHILE UNLOADING A PATIENT FROM THE AMBULANCE, THE SAFETY BAIL ON THE HEAD END OF THE STRETCHER ALLEGEDLY DID NOT ENGAGE WITH THE SAFETY HOOK THERFORE; THE STRETCHER FELL TO THE BUMPER AND TIPPED OVER. THE PATIENT WAS REPORTED TO HAVE POSSIBLY HIT THEIR HEAD AND WAS TREATED IN THE ER FOR AN ABRASION. THE STRETCHER WILL BE EVALUATED AT FERNO. NO FURTHER DETAILS WERE PROVIDED.

    Description of Event or Problem · 0

    THE CUSTOMER REPORTED WHILE UNLOADING A PATIENT FROM THE AMBULANCE, THE SAFETY BAIL ON THE HEADEND OF THE STRETCHER ALLEGEDLY DID NOT ENGAGE WITH THE SAFETY HOOK AND THE STRETCHER FELL TO THE BUMPER AND TIPPED OVER. THE PATIENT WAS REPORTED TO HAVE POSSIBLY HIT THEIR HEAD AND WAS TREATED IN THE ER FOR AN ABRASION. THE STRETCHER WILL BE EVALUATED AT FERNO. NO FURTHER DETAILS WERE PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2117599 INX FOR INLINE WITH DWL INX FOR INLINE WITH DWL FPO FERNO-WASHINGTON, INC. 0015811 00190790001339

    Patients

    Seq Age Sex Outcome Treatment
    1 89 YR Male Other