FDA Adverse Event
Injury
Summary report: N
35A MOBILE TRANSPORTER
MDR report key: 4336266
·
Received December 4, 2014
Report
- Report Number
- 1523574-2014-00022
- Event Type
- Injury
- Date Received
- December 4, 2014
- Date of Event
- July 29, 2014
- Report Date
- December 3, 2014
- Manufacturer
- FERNO-WASHINGTON, INC.
- Product Code
- FPO
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
THE SUBJECT UNIT WAS INSPECTED BY (B)(4) ON (B)(6) 2014. NO MALFUNCTIONS WERE DETECTED AND THE INCIDENT COULD NOT BE DUPLICATED. THE CAUSE OF THE REPORTED INCIDENT COULD NOT BE DETERMINED.
Description of Event or Problem · 1
CUSTOMER ADVISED (B)(4) ON (B)(6) 2014 THAT WHILE LOADING A PATIENT INTO THE AMBULANCE THE STRETCHER LOWERED FROM THE CURRENT POSITION. THIS RESULTED IN A REPORTED INJURY TO THE PARAMEDIC. DETAILS OF THE INJURY OR ANY MEDICAL INTERVENTION WERE NOT DISCLOSED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 783000 | 35A MOBILE TRANSPORTER | 35A MOBILE TRANSPORTER | FPO | FERNO-WASHINGTON, INC. | 0015610 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |