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