FDA Adverse Event
Injury
Summary report: N
59T EZ GLIDE STAIR CHAIR
MDR report key: 4102648
·
Received September 10, 2014
Report
- Report Number
- 1523574-2014-00019
- Event Type
- Injury
- Date Received
- September 10, 2014
- Date of Event
- August 15, 2014
- Report Date
- September 10, 2014
- Manufacturer
- FERNO-WASHINGTON, INC.
- Product Code
- FPO
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KY, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
THE UNIT WAS EVALUATED BY (B)(4), ON BEHALF OF MANUFACTURER, AND NO DEFECTS OR MALFUNCTIONS WERE FOUND. THE UNIT PASSED ALL QUALITY TESTS. THE CUSTOMER CONFIRMED THAT THEY WERE UNABLE TO IDENTIFY ANY ISSUES WITH THE UNIT.
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING A TRANSPORT, WHILE DESCENDING THE STAIRS THAT THE UNIT SLID DOWN THE STAIRS AND FELL BACKWARDS TO THE GROUND. THE REPORTED INJURIES WERE EVALUATED AND ALL PARTIES WERE DISCHARGED WITHOUT COMPLAINT FROM THE EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 559491 | 59T EZ GLIDE STAIR CHAIR | 59T EX GLIDE STAIR CHAIR | FPO | FERNO-WASHINGTON, INC. | 0731328 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |