BEUDAMED
    FDA Adverse Event Death Summary report: N

    FERNO 35X PRO FLEXX X-FRAME COT

    MDR report key: 1745892 · Received February 4, 2010

    Report

    Report Number
    1745892
    Event Type
    Death
    Date Received
    February 4, 2010
    Date of Event
    January 14, 2010
    Report Date
    February 4, 2010
    Manufacturer
    FERNO WASHINGTON, INC.
    Product Code
    FPO
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NJ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PATIENT ON A FERNO-WASHINGTON 35X PRO STRETCHER IN BACK OF AMBULANCE IN TRANSIT. AMBULANCE INVOLVED IN A CRASH. LAW ENFORCEMENT PERSONNEL REPORT PATIENT DEATH AND BREAKAGE OF STRETCHER IN SEVERAL AREAS INCLUDING SEVERED STRETCHER LOWER LEG CONNECTING STRETCHER FRONT AND BACK WHEELS WHERE THE STRETCHER IS SECURED TO THE AMBULANCE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FERNO 35X PRO FLEXX X-FRAME COT AMBULANCE STRETCHER/COT FPO FERNO WASHINGTON, INC. 35X

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Death