BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STRETCHER/SLIDER BOARD

    MDR report key: 35598 · Received July 10, 1996

    Report

    Report Number
    35598
    Event Type
    Injury
    Date Received
    July 10, 1996
    Date of Event
    June 17, 1996
    Report Date
    July 1, 1996
    Manufacturer
    FERNO-WASHINGTON, INC.
    Product Code
    FPO
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT WAS BEING TRANSPORTED ON GURNEY-SMALL, AMBULANCE TYPE-FROM MRI. GURNEY WAS PARKED WITH PT AWAITING TRANSPORT BACK TO ROOM. TECH BEGAN MOVING PT, PT APPARENTLY WAS STARTLED BY THE MOVEMENT AND TURNED TO HER RIGHT, THE GURNEY TIPPED, PT SLID TO THE FLOOR STRIKING HER HEAD AND SHOULDER ON THE FLOOR. TECH GRABBED HER LEGS AND BROKE THE FALL. PT WAS LAYING ON A SLIDER BOARD WITH TWO STRAPS SECURED OVER HER LOWER BODICE AND LEGS. THE SLIDER BOARD WAS WIDER THAN THE GURNEY WHICH PRECLUDED BOTH SIDE RAILS FROM BEING UP. THE LEFT RAIL WAS UP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRETCHER/SLIDER BOARD STRETCHER FPO FERNO-WASHINGTON, INC. 30NM UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR Required Intervention