BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INX FOR INLINE WITH DWL

    MDR report key: 9578162 · Received January 10, 2020

    Report

    Report Number
    1523574-2020-00002
    Event Type
    Injury
    Date Received
    January 10, 2020
    Date of Event
    January 3, 2020
    Report Date
    June 3, 2020
    Manufacturer
    FERNO-WASHINGTON, INC.
    Product Code
    FPO
    UDI-DI
    00190790001339
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 0

    AN AUTHORIZED FIELD TECHNICIAN WAS DISPATCHED TO EVALUATE THE STRETCHER AT THE COMPLAINANT'S LOCATION. A VISUAL EVALUATION WAS CONDUCTED AND IT WAS CONFIRMED THE LEG BRACKET WAS DAMAGED BUT COULD NOT BE REPAIRED ONSITE. THE STRETCHER WAS RETURNED TO THE MANUFACTURER. MANUFACTURER WAS CONTACTED BY LEGAL COUNSEL TO PRESERVE THE STRETCHER IN ITS CURRENT STATE. THE COMPLAINANT WAS PROVIDED A REPLACEMENT STRETCHER. NO ADDITIONAL INFORMATION HAS BEEN RECEIVED REGARDING THE ALLEGED PATIENT AND MEDIC INJURIES.

    Description of Event or Problem · 0

    THE COMPLAINANT REPORTED AFTER UNLOADING THE PATIENT FROM THE AMBULANCE, THE MEDICS WERE LOWERING THE COT TO TRANSPORT POSITION AND THE COT ALLEGEDLY BEGAN TO LEAN TO THE RIGHT AND TIP OVER. THE PATIENT ALLEGEDLY SUSTAINED AN ABRASION TO THE RIGHT ELBOW AND SHOULDER. A MEDIC IS ALLEGING SHOULDER PAIN. BOTH THE PATIENT AND MEDIC WERE EXAMINED AND XRAYS ON BOTH WERE PERFORMED. NO ADDITIONAL DETAILS HAVE BEEN PROVIDED.

    Description of Event or Problem · 1

    THE COMPLAINANT REPORTED AFTER UNLOADING THE PATIENT FROM THE AMBULANCE, THE MEDICS WERE LOWERING THE COT TO TRANSPORT POSITION AND THE COT ALLEGEDLY BEGAN TO LEAN TO THE RIGHT AND TIP OVER. THE PATIENT ALLEGEDLY SUSTAINED AN ABRASION TO THE RIGHT ELBOW AND SHOULDER. A MEDIC IS ALLEGING SHOULD PAIN. BOTH THE PATIENT AND MEDIC WERE EXAMINED AND XRAYS ON BOTH WERE PERFORMED. NO ADDITIONAL DETAILS HAVE BEEN PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    37214 INX FOR INLINE WITH DWL INX FOR INLINE WITH DWL FPO FERNO-WASHINGTON, INC. 0015811 00190790001339

    Patients

    Seq Age Sex Outcome Treatment
    1 Other