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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: FERNO-WASHINGTON, INC. INX FOR INLINE

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FERNO-WASHINGTON, INC. INX FOR INLINE Back to Search Results
Model Number 0015803
Device Problem Use of Device Problem (1670)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 04/14/2023
Event Type  malfunction  
Event Description
During a dispatch for patient transport, a medic was pulling the empty stretcher from the ambulance and accidently released the safety bail prior to the legs being fully extended and the stretcher lowered from the ambulance deck.No damage was immediately detected and the patient was loaded onto the stretcher and into the ambulance without further incident.Upon arrival to the hospital the legs would not extend under power and the manual release was utilized to complete the unloading process.After the patient was transferred into the hospital it was observed damage had been sustained from the prior incident.No injuries to the patient was sustained and the transport was not delayed as a result of the reported incident.
 
Event Description
During a dispatch for patient transport, a medic was pulling the empty stretcher from the ambulance and accidently released the safety bail prior to the legs being fully extended and the stretcher lowered from the ambulance deck.No damage was immediately detected and the patient was loaded onto the stretcher and into the ambulance without further incident.Upon arrival to the hospital the legs would not extend under power and the manual release was utilized to complete the unloading process.After the patient was transferred into the hospital it was observed damage had been sustained from the prior incident.No injuries to the patient was sustained and the transport was not delayed as a result of the reported incident.
 
Manufacturer Narrative
The subject stretcher was returned to the manufacturer for evaluation.Damage as a result of the reported incident was observed and repaired.The original report indicated use error as the contributing factor and there were no observations from the evaluation that would indicate otherwise.The damages were repaired and the stretcher was returned to the customer.
 
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Brand Name
INX FOR INLINE
Type of Device
INX FOR INLINE
Manufacturer (Section D)
FERNO-WASHINGTON, INC.
70 weil way
wilmlngton OH 45177
Manufacturer (Section G)
FERNO-WASHINGTON, INC.
70 weil way
wilmlngton OH 45177
Manufacturer Contact
dawn greene
70 weil way
wilmlngton, OH 45177
MDR Report Key16910788
MDR Text Key314991653
Report Number1523574-2023-00010
Device Sequence Number1
Product Code FPO
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 07/24/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received05/11/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model Number0015803
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Date Manufacturer Received04/25/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured09/19/2016
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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