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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: FERNO-WASHINGTON, INC. 40-OS STAIR CHAIR
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FERNO-WASHINGTON, INC. 40-OS STAIR CHAIR Back to Search Results
Model Number 0714851
Device Problem Detachment Of Device Component (1104)
Patient Problem Fall (1848)
Event Date 04/05/2017
Event Type  Injury  
Event Description
It was reported while transporting a patient on a stair case the rubber grip on the foot end of the stair chair came off and allegedly caused the patient to tip over.No further details were given regarding the incident and no injuries to the patient or crew were reported.The initial incident report indicates treatment in the er but it is unclear if this was due to the alleged incident or if it was for the original call for medical help.
 
Manufacturer Narrative
The chair was returned to the manufacturer and a visual evaluation was conducted.The unit appeared to be in fair condition and the rubber hand grip was observed to be separated from the handle and taped to the chair.Adhesive residue was noted on the chair handle as well as inside the rubber grip indicating adhesive was applied during manufacturing.Measurements of the handle were also taken and were found to be within specification.The chair is still able to meet its intended use without the rubber grip on the handle.The chair was repaired and returned to the complainant.No further follow up information was provided by the complainant regarding the patient and any alleged injuries resulting from the incident.
 
Event Description
It was reported while transporting a patient on a stair case the rubber grip on the foot end of the stair chair came off and allegedly caused the patient to tip over.No further details were given regarding the incident and no injuries to the patient or crew were reported.The initial incident report indicates treatment in the er but it is unclear if this was due to the alleged incident or if it was for the original call for medical help.
 
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Brand Name
40-OS STAIR CHAIR
Type of Device
40-OS STAIR CHAIR
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
MDR Report Key6502981
MDR Text Key73105715
Report Number1523574-2017-00013
Device Sequence Number1
Product Code FPP
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 Emergency Medical Technician
Type of Report Initial,Followup
Report Date 05/18/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/19/2017
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator No Information
Device Model Number0714851
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer04/13/2017
Is the Reporter a Health Professional? Yes
Date Manufacturer Received04/07/2017
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured06/24/2016
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Outcome(s) Other;
Patient Weight109
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