FDA Adverse Event
Injury
Summary report: N
ADVANTA
MDR report key: 1111013
·
Received August 12, 2008
Report
- Report Number
- 1824206-2008-03063
- Event Type
- Injury
- Date Received
- August 12, 2008
- Date of Event
- January 17, 2005
- Report Date
- August 4, 2008
- Manufacturer
- HILL-ROM RITTER
- Product Code
- FNL
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- LA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE ACCOUNT ALLEGED THAT A PATIENT WAS SITTING ON A BEDSIDE TOILET AND WAS GETTING UP WHEN THE BED MOVED AWAY FROM THE PATIENT CAUSING THE PATIENT TO FALL. THE PATIENT WAS INJURED AND REQUIRED KNEE SURGERY, HOWEVER THE ACCOUNT DECLINED TO RELEASE THE EXTENT OF THE INJURY OR ANY PATIENT INFORMATION. THE ACCOUNT WAS ALSO UNSURE IF BRAKES WERE ENGAGED ON THE BED WHEN THE INCIDENT OCCURRED. UPON INVESTIGATION THE BRAKES FUNCTIONED PROPERLY, MINOR ADJUSTMENTS WERE MADE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ADVANTA | AC POWERED HOSPITAL BED | FNL | HILL-ROM RITTER | 1600 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |