BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FERNO MULTI LEVEL ROLL IN MOBILE TRANSPORTER

    MDR report key: 518747 · Received March 30, 2004

    Report

    Report Number
    1523574-2004-00004
    Event Type
    Injury
    Date Received
    March 30, 2004
    Report Date
    February 1, 2004
    Manufacturer
    FERNO-WASHINGTON, INC.
    Product Code
    FPO
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    CUSTOMER CLAIMS THAT WHILE ATTEMPTING TO MOVE PT FROM COT TO A WHEEL CHAIR, ONE SIDE OF COT FOLDED. AN EMT ATTEMPTED TO PREVENT THE FOLD BY REACHING UNDER THE COT WHICH RESULTED IN THE EMT BREAKING THEIR ARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FERNO MULTI LEVEL ROLL IN MOBILE TRANSPORTER AMBULANCE COT FPO FERNO-WASHINGTON, INC. 35-A M 326660

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Required Intervention