BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDLINE ALTERRA FULL ELECTRIC BED

    MDR report key: 14171437 · Received April 20, 2022

    Report

    Report Number
    MW5109252
    Event Type
    Injury
    Date Received
    April 20, 2022
    Date of Event
    March 7, 2022
    Report Date
    April 19, 2022
    Manufacturer
    MEDLINE INDUSTRIES, LP - NORTHFIELD
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    WHEELS BROKE OFF OF THE BED WHILE WHEELING RESIDENT OUT DURING A FIRE DRILL AT THE FACILITY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2625943 MEDLINE ALTERRA FULL ELECTRIC BED BED, AC-POWERED ADJUSTABLE HOSPITAL FNL MEDLINE INDUSTRIES, LP - NORTHFIELD MEDLINE ALTERRA MAXX

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Male Required Intervention