BEUDAMED
    FDA Adverse Event Other Summary report: N

    BAILEY FOLDING

    MDR report key: 102908 · Received July 3, 1997

    Report

    Report Number
    MW1011619
    Event Type
    Other
    Date Received
    July 3, 1997
    Date of Event
    June 12, 1997
    Report Date
    June 24, 1997
    Manufacturer
    BAILEY MFG.
    Product Code
    IOE
    Report Source
    Voluntary report
    Reporter Location
    IN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT WAS DESCENDING FROM 8" STEP USING PARALLEL BARS. BARS HAD BEEN CHECKED FOR SAFETY BY STAFF FOR STABLILITY BEFORE PT USED THE BARS. PT FELL FORWARD AND LANDED ON LEFT HIP. X-RAYS WERE NEGATIVE. "UCLEVER" PIN DID NOT ENGAGE FULLY INTO THE SLOT. HOSPITAL NOTIFIED MFR. (YR. 1995 INSTALLED)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BAILEY FOLDING WALL MOUNTED, PARALLED BAR IOE BAILEY MFG. 595 *

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Other