FDA Adverse Event
Injury
Summary report: N
MEDLINE ALTERRA FULL ELECTRIC BED
MDR report key: 14171597
·
Received April 20, 2022
Report
- Report Number
- MW5109255
- Event Type
- Injury
- Date Received
- April 20, 2022
- Date of Event
- January 12, 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
BED WHEEL FELL OFF WHEN BEING UNLOADED AT THE FACILITY FOR RESIDENT USE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2625946 | 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 |