BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DFS HOME CARE- ADVANCED DYNAMIC FLOTATION SYSTEM

    MDR report key: 144836 · Received January 16, 1998

    Report

    Report Number
    144836
    Event Type
    Injury
    Date Received
    January 16, 1998
    Date of Event
    January 7, 1998
    Report Date
    January 16, 1998
    Manufacturer
    HUNTLEIGH HEALTHCARE INC
    Product Code
    FNM
    Report Source
    User Facility report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CNA REPORTED THAT RESIDENT FELL OUT OF BED. FLOTATION MATTRESS OVER REGULAR MATTRESS & SIDERAIL DISENGAGED. SUSTAINED COMMINUTED FRACTURES OF THE DISTAL RIGHT TIBIA & FIBULA +2 SKIN TEARS RIGHT ARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DFS HOME CARE- ADVANCED DYNAMIC FLOTATION SYSTEM FLOTATION MATTRESS FNM HUNTLEIGH HEALTHCARE INC DFSH 2000 *

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR Required Intervention