UNKNOWN AT THIS TIME

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2020-03-09 for UNKNOWN AT THIS TIME manufactured by Ferno-washington, Inc..

Event Text Entries

[188334787] It has been alleged while the patient was being unloaded from the ambulance the stretcher allegedly lowered to the ground. The patient is alleging personal injury. The identification of the stretcher involved and details of the claimed injury have not been provided.
Patient Sequence No: 1, Text Type: D, B5

MAUDE Entry Details

• Report Number: 1523574-2020-00007
• MDR Report Key: 9806365
• Report Source: COMPANY REPRESENTATIVE
• Date Received: 2020-03-09
• Date of Report: 2020-03-09
• Date of Event: 2018-02-15
• Date Mfgr Received: 2020-03-05
• Date Added to Maude: 2020-03-09
• Event Key: 0
• Report Source Code: Manufacturer report
• Manufacturer Link: Y
• Number of Patients in Event: 0
• Adverse Event Flag: 3
• Product Problem Flag: 3
• Reprocessed and Reused Flag: 3
• Health Professional: 3
• Initial Report to FDA: 3
• Report to FDA: 3
• Event Location: 3
• Manufacturer Contact: MS. DAWN GREENE
• Manufacturer Street: 70 WEIL WAY
• Manufacturer City: WILMINGTON, OH
• Manufacturer Country: US
• Manufacturer Phone: 2832900
• Manufacturer G1: FERNO-WASHINGTON, INC.
• Manufacturer Street: 70 WEIL WAY
• Manufacturer City: WILMINGTON, OH
• Manufacturer Country: US
• Single Use: 3
• Previous Use Code: 3
• Event Type: 3
• Type of Report: 3

Device Details

• Brand Name: UNKNOWN AT THIS TIME
• Generic Name: UNKNOWN AT THIS TIME
• Product Code: FPO
• Date Received: 2020-03-09
• Model Number: UNKNOWN
• Operator: HEALTH PROFESSIONAL
• Device Availability: N
• Device Eval'ed by Mfgr: R
• Device Sequence No: 1
• Device Event Key: 0
• Manufacturer: FERNO-WASHINGTON, INC.
• Manufacturer Address: 70 WEIL WAY WILMINGTON, OH US

Patients

Patient Number	Treatment	Outcome	Date
1	0	1. Other	2020-03-09