BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INX FOR INLINE WITH DWL

    MDR report key: 15472888 · Received September 23, 2022

    Report

    Report Number
    1523574-2022-00013
    Event Type
    Injury
    Date Received
    September 23, 2022
    Date of Event
    August 25, 2022
    Report Date
    January 10, 2023
    Manufacturer
    FERNO-WASHINGTON, INC
    Product Code
    FPO
    UDI-DI
    00190790001339
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    501

    Narratives

    Additional Manufacturer Narrative · 0

    AN AUTHORIZED FERNO TECHNICIAN CONDUCTED A VISUAL AND FUNCTIONAL TEST ON THE DEVICE AND COULD NOT FIND ANY ISSUES THAT WOULD HAVE CAUSED THE INCIDENT. THE STRETCHER DID SUSTAIN DAMAGES, AS A RESULT OF THE STRETCHER LOWERING TO THE GROUND. NO FURTHER PATIENT DETAILS WERE PROVIDED.

    Description of Event or Problem · 0

    THE CUSTOMER REPORTED WHILE LOADING THE EMPTY STRETCHER INTO THE AMBULANCE, THE FRONT WHEELS BECAME CAUGHT ON THE AMBULANCE DECK ALLOWING THE UNIT TO LOWER TO THE GROUND. THE MEDIC ALLEGEDLY SUSTAINED A BACK STRAIN, AS A RESULT. THE NEED FOR MEDICAL INTERVENTION IS NOT KNOWN AT THIS TIME. THE UNIT WILL BE EVALUATED.

    Description of Event or Problem · 0

    THE CUSTOMER REPORTED WHILE LOADING THE EMPTY STRETCHER INTO THE AMBULANCE, THE FRONT WHEELS BECAME CAUGHT ON THE AMBULANCE DECK ALLOWING THE UNIT TO LOWER TO THE GROUND. THE MEDIC ALLEGEDLY SUSTAINED A BACK STRAIN, AS A RESULT. THE NEED FOR MEDICAL INTERVENTION IS NOT KNOWN AT THIS TIME. THE UNIT WILL BE EVALUATED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2728587 INX FOR INLINE WITH DWL INX FOR INLINE WITH DWL FPO FERNO-WASHINGTON, INC 0015811 00190790001339

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Other