BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FERNO-WASHINGTON

    MDR report key: 1738046 · Received June 21, 2010

    Report

    Report Number
    MW5016492
    Event Type
    Malfunction
    Date Received
    June 21, 2010
    Date of Event
    June 1, 2010
    Report Date
    June 1, 2010
    Manufacturer
    FERNO-WASHINGTON, INC
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    WHILE LOADING STRETCHER INTO AMBULANCE, THE HEAD SECTION FAILED. THE DROP FRAME HINGE WAS CRACKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FERNO-WASHINGTON EMS STRETCHER 700 LB FPO FERNO-WASHINGTON, INC POWERFLEXX SRL# L-790913

    Patients

    Seq Age Sex Outcome Treatment
    1 71 YR Other