BEUDAMED
    FDA Adverse Event Other Summary report: N

    SQUADMATE STRETCHER

    MDR report key: 31609 · Received March 28, 1996

    Report

    Report Number
    MW1008752
    Event Type
    Other
    Date Received
    March 28, 1996
    Date of Event
    March 20, 1996
    Report Date
    March 26, 1996
    Manufacturer
    FERNO-WASHINGTON, INC.
    Product Code
    FPO
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    WHILE REMOVING STRETCHER FROM THE VAN, THE STRETCHER WHEELS CAME DOWN BUT MALFUNCTIONED ALLOWING STRETCHER TO FALL RAPIDLY TO THE GROUND. THE RESIDENT ON THE CART APPEARED TO HAVE NO PERMANENT INJURIES. THE VAN DRIVER, WHO IS A CNA, AND ANOTHER CNA WHO WERE UNLOADING THE STRETCHER HAD TRIED TO PROTECT THE RESIDENT DURING THE INCIDENT. ONE CNA IS COMPLAINING OF BACK AND NECK PAIN AND WENT TO A CHIROPRACTOR. THE EMPLOYEE IS CURRENTLY ON VACATION. SALES REP CHECKED STRETCHER (3/26/96). STRETCHER WORKED UNLESS WEIGHT WAS APPLIED. DID NOT WORK 10 TIMES WHEN TESTED WITH WEIGHT 3/26/96. INFORMED 3/26/96 THAT CO REP COMING TO CHECK EQUIPMENT. STRETCHER WAS ORDERED 11/94 AND WAS DELIVERED 12/94. WAS PLACED IN STORAGE UNTIL 3-4 WEEKS AGO. COULD NOT BE USED WITH OLD VAN, AWAITING PURCHASE OF NEW VAN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SQUADMATE STRETCHER AMBULANCE COT FPO FERNO-WASHINGTON, INC. 93ES

    Patients

    Seq Age Sex Outcome Treatment
    1 71 YR Other