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