FDA Adverse Event Injury Summary report: N

ENTERPRISE 5000

MDR report key: 10621728 · Received October 2, 2020

Report

Report Number
3007420694-2020-00157
Event Type
Injury
Date Received
October 2, 2020
Date of Event
July 20, 2020
Report Date
October 2, 2020
Manufacturer
ARJOHUNTLEIGH, A BRANCH OF ARJO LTD MED AB
Product Code
FNL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE USER MANUAL DEDICATED TO ENTERPRISE 5000 (746-445) CONTAINS ALL CRUCIAL INFORMATION AND WARNINGS WHICH SHOULD BE FOLLOWED TO ENSURE THE SAFE USE OF THE BED: 'LOWER THE BED TO MINIMUM HEIGHT WHEN THE PATIENT IS LEFT UNATTENDED'. 'SAFETY SIDES ARE NOT INTENDED TO RESTRAIN PATIENTS WHO MAKE A DELIBERATE ATTEMPT TO EXIT THE BED.' THIS BED WAS SERVICED INTERNALLY BY THE CUSTOMER AND THERE WAS NO DEVICE FAILURE REPORTED TO ARJO. TO SUM UP, ARJO MEDICAL BED WAS USED FOR A PATIENT TREATMENT WHEN THE EVENT OCCURRED AND FROM THAT PERSPECTIVE, IT PLAYED A ROLE IN THE EVENT. NO MALFUNCTION WAS REPORTED. IT WAS DECIDED TO REPORT THIS EVENT DUE TO THE PATIENT FALL FROM THE ARJO BED AND SUSTAINED INJURY.

Description of Event or Problem · 1

A FACILITY NURSE MANAGER REPORTED TO ARJO THAT A PATIENT SLIPPED AND FELL TO THE FLOOR HITTING HER ELBOW. AS A CONSEQUENCE THE PATIENT SUSTAINED AN ELBOW FRACTURE AND MEDICAL INTERVENTION WAS REQUIRED. THE ELBOW WAS PUT IN A CAST AND AFTER TWO DAYS IN THE HOSPITAL, THE PATIENT WAS DISCHARGED HOME. INFORMATION GATHERED ALLOWED TO ESTABLISH CIRCUMSTANCES SURROUNDING THE EVENT. AT NIGHT THE PATIENT, USING A FREE SPACE BETWEEN THE RAISED SAFETY SIDE RAIL AND BED'S FOOTBOARD, GOT OUT OF THE ENTERPRISE 5000 BED . WHEN SHE WAS TRYING TO GET BACK THROUGH THE SAME SPACE BETWEEN SIDE RAIL AND FOOTBOARD, SHE SLIPPED AND FELL TO THE FLOOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1084427 ENTERPRISE 5000 BED, AC-POWERED ADJUSTABLE HOSPITAL FNL ARJOHUNTLEIGH, A BRANCH OF ARJO LTD MED AB 5000KD24A22CF

Patients

Seq Age Sex Outcome Treatment
1 99 YR Hospitalization| R