BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FERNO SQUADMATE

    MDR report key: 39679 · Received September 6, 1996

    Report

    Report Number
    1523574-1996-00061
    Event Type
    Malfunction
    Date Received
    September 6, 1996
    Report Date
    September 6, 1996
    Manufacturer
    FERNO-WASHINGTON INC
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    NO INFORMATION

    Narratives

    Additional Manufacturer Narrative · 1

    H-6 (86 OTHER) UNIT INSPECTED BY INDEPENDENT SERVICE AGENT - METHOD UNK.

    Description of Event or Problem · 1

    CUSTOMER CLAIMS TO HAVE HAD INCIDENTS OF CLOT FOLDING. NO INJURIES REPORTED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO