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