FDA Adverse Event Injury Summary report: N

OHI 540

MDR report key: 1346815 · Received March 18, 2009

Report

Report Number
MW5010383
Event Type
Injury
Date Received
March 18, 2009
Date of Event
March 10, 2009
Report Date
March 18, 2009
Manufacturer
OHIO MEDICAL INSTRUMENT CO., PEDIGO PRODUCTS, INC.
Product Code
FPO
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
MI, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

PATIENT LYING ON STRETCHER ATTEMPTED TO REPOSITION HIMSELF ON STRETCHER TO VOID, LEANED AGAINST LEFT SIDERAIL WHEN IT RELEASED AND PATIENT FELL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OHI 540 STRETCHER FPO OHIO MEDICAL INSTRUMENT CO., PEDIGO PRODUCTS, INC. K540-001

Patients

Seq Age Sex Outcome Treatment
1 76 YR Other