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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: FERNO-WASHINGTON, INC. 59 T EZ GLIDE CHAIR
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FERNO-WASHINGTON, INC. 59 T EZ GLIDE CHAIR Back to Search Results
Model Number 0731328
Device Problem Detachment of Device or Device Component (2907)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 11/17/2018
Event Type  malfunction  
Event Description
It was reported while transporting a patient the seat frame of the chair allegedly broke.The patient was properly restrained and no injuries occured; however, the patient was transferred to an alternate method to continue the transport.
 
Manufacturer Narrative
An authorized field technician was dispatched to evaluate te chair at the complainant's site.The technician was able to confirm the alleged issue.The cause of the reported incident could not be determined.The chair was noted to be 12.5 years of age at the time of the incident.The ifu contains instruction on regular inspections of the chair to ensure for proper functioning.
 
Event Description
It was reported while transporting a patient the seat frame of the chair allegedly broke.The patient was properly restrained and no injuries occured; however, the patient was transferred to an alternate method to continue the transport.
 
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Brand Name
59 T EZ GLIDE CHAIR
Type of Device
59 T EZ GLIDE CHAIR
Manufacturer (Section D)
FERNO-WASHINGTON, INC.
70 weil way
wilmington OH 45177
MDR Report Key8147294
MDR Text Key130179897
Report Number1523574-2018-00041
Device Sequence Number1
Product Code FPP
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 02/04/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/10/2018
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Model Number0731328
Was Device Available for Evaluation? Yes
Date Manufacturer Received12/05/2018
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Weight159
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