BEUDAMED
    FDA Adverse Event Other Summary report: N

    FERNO MODEL 93 - ES SQUADMATE AMBULANCE COT

    MDR report key: 772848 · Received October 17, 2006

    Report

    Report Number
    1523574-2006-00004
    Event Type
    Other
    Date Received
    October 17, 2006
    Date of Event
    September 1, 2006
    Report Date
    October 17, 2006
    Manufacturer
    FERNO-WASHINGTON, INC.
    Product Code
    FPO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    UNCONFIRMED BY MANUFACTURER WHETHER OR NOT THE AUXILARY LOCK WAS ENGAGED BEFORE OPERATORS ATTEMPTED TO MOVE THE COT INTO LOAD POSITION. ENGAGING THE AUXILARY LOCK PRIOR TO MOVING THE COT INTO LOAD POSITION WOULD HAVE PREVENTED THE DESCRIBED EVENT.

    Description of Event or Problem · 1

    FOUR OPERATORS WERE PREPARING THE AMBULANCE COT, AND A 300+ POUND PATIENT FOR LOAD INTO THE BACK OF THE AMBULANCE. TWO OPERATORS WERE POSITIONED AT THE HEAD-END AND TWO OPERATORS WERE POSITIONED AT THE FOOT-END. THE TWO HEAD-END OPERATORS INDICATED THE COT WAS IN LOAD POSITION WHEN IT STARTED TO LOWER. THE TWO HEAD-END OPERATORS ASSUMED THE WEIGHT OF THE HEAD-END. ONLY ONE OF THE TWO FOOT-END OPERATORS WAS HOLDING ONTO THE COT. ONE FOOT-END OPERATOR ASSUMED THE FOOT-END WEIGHT AND INJURED HIS BACK. THE FOOT-END OPERATOR COMPLETED HIS SHIFT AND FOLLOWED UP WITH A CHIROPRACTOR A COUPLE OF DAYS LATER. FOOT-END OPERATOR INDICATED HISTORY OF PRIOR BACK INJURY IN SAME LOCATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FERNO MODEL 93 - ES SQUADMATE AMBULANCE COT AMBULANCE COT FPO FERNO-WASHINGTON, INC. 93-ES *

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR Other