FDA Adverse Event
Injury
Summary report: N
DRIVE
MDR report key: 16940773
·
Received May 16, 2023
Report
- Report Number
- 2438477-2023-00034
- Event Type
- Injury
- Date Received
- May 16, 2023
- Report Date
- May 16, 2023
- Manufacturer
- SHENYANG HENYI ENTERPRISE CO., LTD
- Product Code
- FNL
- UDI-DI
- 00822383111094
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- IN, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
DRIVE DEVILBISS HEALTHCARE WAS NOTIFIED OF A COMPLAINT INVOLVING A BEDRAIL BY THE END USER'S SON, WHO REPORTED THAT HIS FATHER "HAS ALZHEIMER'S AND IS INJURING HIS ARMS BY PUTTING HIM THROUGH THE RAILS," AND THAT HE BELIEVES THE MANUFACTURER SHOULD "PROVIDE THE PADS TO KEEP THIS FROM HAPPENING." IT IS UNCLEAR WHAT PADS TO WHICH THE REPORTER REFERRED, AND THERE WAS NO FURTHER INFORMATION PROVIDED REGARDING THE SPECIFICS OR SEVERITY OF THE REPORTED INJURY. DRIVE IS CURRENTLY INVESTIGATING THE COMPLAINT, AND WILL FILE AN UPDATE IF ADDITIONAL INFORMATION BECOMES AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1638207 | DRIVE | ELECTRIC BED | FNL | SHENYANG HENYI ENTERPRISE CO., LTD | 15030 | 00822383111094 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 73 YR | Male | Other |