FDA Adverse Event Other Summary report: N

KENDRICK EXTRICATION DEVICE

MDR report key: 549527 · Received March 30, 2004

Report

Report Number
1523574-2004-00003
Event Type
Other
Date Received
March 30, 2004
Report Date
February 18, 2004
Manufacturer
FERNO-WASHINGTON, INC.
Product Code
IQK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

CUSTOMER CLAIMS ONE WOODEN SLAT IS MISSING WHICH MAKES THE MEDICAL DEVICE UNSTABLE AND USELESS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KENDRICK EXTRICATION DEVICE IMMOBILIZATION IQK FERNO-WASHINGTON, INC. 125 NA

Patients

Seq Age Sex Outcome Treatment
1 NO INFO