BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EVEREST + JENNINGS

    MDR report key: 13619229 · Received February 25, 2022

    Report

    Report Number
    MW5107757
    Event Type
    Malfunction
    Date Received
    February 25, 2022
    Date of Event
    December 26, 2021
    Report Date
    December 28, 2021
    Manufacturer
    GF HEALTH PRODUCTS, INC.
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    WHEELCHAIR CASTER METAL 90 DEGREES SHARP EDGES CAUSED CUT ON LEG OF (B)(6) YEAR PERSON. SUNDAY (B)(6) 2021. STAFF NEEDED ASSISTANCE TRANSFERRING THE PRESIDENT FROM THE BED TO THE WHEELCHAIR. I ASSISTED THEM, WITH THE TRANSFER. WE ASSISTED THE RESIDENT AND SIT AT THE EDGE OF THE BED. THE WHEELCHAIR WAS POSITION ON THE LEFT SIDE OF THE RESIDENT. I ASSISTED ON THE LEFT SIDE, WE TRANSFER THE RESIDENT TO THE WHEELCHAIR. THE RESIDENT SAID I GOT CUT. I DON'T RECALL THE EXACT WORDS. I ASKED WHERE, I SEE THE BLOOD ON THE RIGHT LEG. I GOT PAPER TOWELS TO HOLD IT, AND APPLIED PRESSURE. THE OTHER STAFF MEMBER WENT TO GET THE MED SUPERVISOR. THE MED SUPV ATTENDED THE CUT. STITCHES TO LEG.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    128606 EVEREST + JENNINGS WHEELCHAIR, MECHANICAL IOR GF HEALTH PRODUCTS, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 94 YR Female Other