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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: FERNO-WASHINGTON, INC. INX FOR INLINE WITH DWL
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FERNO-WASHINGTON, INC. INX FOR INLINE WITH DWL Back to Search Results
Model Number 0015811
Device Problem Mechanical Problem (1384)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Type  Injury  
Event Description
The customer alleges while loading a patient into the ambulance the leg's power option was allegedly not responding and the manual release had to be utilized.As a result, during the loading process, the stretcher allegedly lowered from the ambulance catching the medic's hand between the control panel and the lower undercarriage.There was no report of injury however; the medic was evaluated on the scene with no medical intervention sought.
 
Manufacturer Narrative
A functional and visual evaluation of the stretcher was completed.The technician observed the actuator harness had visible damage which resulted in intermittent operation of the hydraulic system.No further details were provided, as to whether, the medic or patient sustained injury or sought medical intervention, as a result of the incident.The unit was repaired and returned to service.
 
Event Description
The customer alleges while loading a patient into the ambulance the leg's power option was allegedly not responding and the manual release had to be utilized.As a result, during the loading process, the stretcher allegedly lowered from the ambulance catching the medic's hand between the control panel and the lower undercarriage.There was no report of injury however; the medic was evaluated on the scene with no medical intervention sought.
 
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Brand Name
INX FOR INLINE WITH DWL
Type of Device
INX FOR INLINE WITH DWL
Manufacturer (Section D)
FERNO-WASHINGTON, INC.
70 weil way
wilmington OH 45177
Manufacturer (Section G)
FERNO-WASHINGTON, INC.
70 weil way
wilmington OH 45177
Manufacturer Contact
dawn greene
70 weil way
wilmington, OH 45177
9372832900
MDR Report Key13005615
MDR Text Key282265443
Report Number1523574-2021-00017
Device Sequence Number1
Product Code FPO
UDI-Device Identifier00190790001339
UDI-Public00190790001339
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 03/07/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/14/2021
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Model Number0015811
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer01/17/2022
Is the Reporter a Health Professional? Yes
Date Manufacturer Received12/10/2021
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured12/18/2019
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Outcome(s) Other;
Patient SexFemale
Patient Weight54 KG
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