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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: FERNO-WASHINGTON, INC. IN X, FOR INLINE
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FERNO-WASHINGTON, INC. IN X, FOR INLINE Back to Search Results
Model Number 0015803
Device Problems Mechanical Problem (1384); Detachment of Device or Device Component (2907)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 01/18/2020
Event Type  malfunction  
Event Description
Complainant reported after loading a patient onto the stretcher and raising the stretcher to the transport height, the medic team observed the cot seemed off balance.It was then noted the crossbar had allegedly broken.The patient was transferred to a hospital bed and a backup stretcher was utilized.No injuries were reported.
 
Manufacturer Narrative
The customer provided pictures of the stretcher for review and the reported issue was able to be confirmed.The customer is cot care trained and conducted the evaluation and repair of the stretcher onsite.It was reported the stretcher has been returned to service.No injuries have been reported since the initial reporting.
 
Event Description
Complainant reported after loading a patient onto the stretcher and raising the stretcher to the transport height, the medic team observed the cot seemed off balance.It was then noted the crossbar had allegedly broken.The patient was transferred to a hospital bed and a backup stretcher was utilized.No injuries were reported.
 
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Brand Name
IN X, FOR INLINE
Type of Device
IN X, FOR INLINE
Manufacturer (Section D)
FERNO-WASHINGTON, INC.
70 weil way
wilmington, oh OH 45177
MDR Report Key9628848
MDR Text Key188336604
Report Number1523574-2020-00003
Device Sequence Number1
Product Code FPO
UDI-Device Identifier00190790000004
UDI-Public00190790000004
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type other
Type of Report Initial,Followup
Report Date 02/26/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/24/2020
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Model Number0015803
Was Device Available for Evaluation? No
Date Manufacturer Received01/20/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Weight91
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