FDA Adverse Event Injury Summary report: N

UNKNOWN_MEDICAL_PRODUCT

MDR report key: 15771276 · Received November 10, 2022

Report

Report Number
0001831750-2022-01216
Event Type
Injury
Date Received
November 10, 2022
Date of Event
October 9, 2022
Report Date
April 14, 2023
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FPO
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

IT WAS DETERMINED CONCLUDED THE SIDERAIL ALLEGEDLY LOWERING UNEXPECTEDLY WAS NOT DUE TO ANY COMPONENT LEVEL MALFUNCTION, AS THE HOSPITAL BIOENGINEERING DEPARTMENT VERIFIED FUNCTIONALITY OF ALL STRETCHERS IN THE EMERGENCY DEPARTMENT. THE USER FACILITY WAS UNABLE TO IDENTIFY THE MODEL OR SERIAL NUMBER OF THE STRETCHER INVOLVED IN THE EVENT. THE NURSE INVOLVED RECEIVED UNDISCLOSED MEDICAL TREATMENT FROM A PHYSICIAN, MISSED TIME FROM WORK, AND HAS SINCE RETURNED TO WORK. THE PATIENT WAS UNHARMED DURING THIS ALLEGED EVENT.

Additional Manufacturer Narrative · 0

THIS RECORD WAS ORIGINALLY CLASSIFIED AS AN ADVERSE EVENT AND PRODUCT PROBLEM. UPON COMPLETION OF THE INVESTIGATION, IT WAS DETERMINED THAT THERE WAS NO DEFECT WITH THE DEVICE AND FULL FUNCTIONALITY OF THE DEVICE WAS CONFIRMED. THE RECORD HAS BEEN ADJUSTED TO REFLECT ONLY AN ADVERSE EVENT, AND NOT A PRODUCT PROBLEM.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DEVICE'S SIDERAIL WAS PUSHED DOWN BY THE PATIENT. CONSEQUENTLY, THE PATIENT FELL, AND THE NURSE SUSTAINED INJURIES, WHILE TRYING TO PREVENT THE PATIENT FALL. THE NURSE SUSTAINED A BACK INJURY, WHICH REQUIRED PROFESSIONAL MEDICAL TREATMENT, AND MISSED TIME FROM WORK. THE PATIENT WAS UNHARMED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DEVICE'S SIDERAIL WAS PUSHED DOWN BY THE PATIENT. CONSEQUENTLY, THE PATIENT FELL, AND THE NURSE SUSTAINED INJURIES, WHILE TRYING TO PREVENT THE PATIENT FALL. THE NURSE SUSTAINED A BACK INJURY, WHICH REQUIRED PROFESSIONAL MEDICAL TREATMENT, AND MISSED TIME FROM WORK. THE PATIENT WAS UNHARMED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DEVICE'S SIDERAIL WAS PUSHED DOWN BY THE PATIENT. CONSEQUENTLY, THE PATIENT FELL, AND THE NURSE SUSTAINED INJURIES, WHILE TRYING TO PREVENT THE PATIENT FALL. THE NURSE SUSTAINED A BACK INJURY, WHICH REQUIRED PROFESSIONAL MEDICAL TREATMENT, AND MISSED TIME FROM WORK. THE PATIENT WAS UNHARMED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
437721 UNKNOWN_MEDICAL_PRODUCT STRETCHER, WHEELED FPO STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other