FDA Adverse Event Other Summary report: N

FERNO 35P

MDR report key: 2625758 · Received June 15, 2012

Report

Report Number
1523574-2012-00013
Event Type
Other
Date Received
June 15, 2012
Date of Event
May 14, 2012
Report Date
June 14, 2012
Manufacturer
FERNO-WASHINGTON, INC.
Product Code
FPO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE AMBULANCE CREW DID NOT MAINTAIN FIRM CONTROL WHILE MOVING THROUGH THE DOORWAY.

Description of Event or Problem · 1

THE AMBULANCE CREW LOADED A (B)(6) PT ONTO A 35P STRETCHER. DUE TO THE PT'S SIZE THE LEFT SIDEARM COULD NOT BE SECURED IN PLACE. WHEN MOVING THE PT THROUGH THE RESIDENCE FROM DOOR HIS TORSO HAD TO BE HELD UP ON BOTH SIDES. UPON EXITING THE DOOR, THE STRETCHER LOWERED AND THE PT FELL ON HIS LEFT SIDE. THE PT REC'D AN ABRASION/CONTUSION TO HIS FOREHEAD WHICH WAS TREATED WITH A BANDAGE. THE AMBULANCE CREW WAS NOT INJURED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FERNO 35P 35P FPO FERNO-WASHINGTON, INC. 0015651

Patients

Seq Age Sex Outcome Treatment
1 47 YR Other