BEUDAMED
    FDA Adverse Event Other Summary report: N

    BED PKG HI/LOW 29"RLS H/F-QUAR

    MDR report key: 1366111 · Received January 29, 2009

    Report

    Report Number
    1417592-2009-00008
    Event Type
    Other
    Date Received
    January 29, 2009
    Report Date
    January 26, 2009
    Manufacturer
    MEDLINE INDUSTRIES, INC.
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A PATIENT WAS BEING TRANSPORTED VIA THE BED. AS THE NURSE GRABBED THE HEAD BOARD, SHE PULLED SIDEWAYS. IT PULLED THE HEADBOARD OFF THE FRAME. SHE FELL AND FRACTURED HER WRIST. THIS INCIDENT WAS CAUSED BY THE MANNER IN WHICH THE END USER PULLED ON THE HEADBOARD. THE SAMPLE HAS BEEN EVALUATED AND THE DESIGN IS BEING REVIEWED WITH MANUFACTURING TO DETERMINE WHAT IMPROVEMENTS CAN BE MADE SO THAT IF IT IS PULLED SIDE-TO-SIDE, THE PUSH BUTTONS WILL NOT INADVERTENTLY DISENGAGE.

    Description of Event or Problem · 1

    A STAFF MEMBER PULLED ON THE HEADBOARD OF THE BED TO TRANSPORT A PATIENT. THE HEADBOARD CAME OFF, SHE FELL AND SHE FRACTURED HER WRIST IN THE PROCESS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BED PKG HI/LOW 29"RLS H/F-QUAR NONE FNL MEDLINE INDUSTRIES, INC. FCE1232QO NA

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention