FDA Adverse Event Other Summary report: N

WHEELCHAIR,BARIATRIC,26",REM F

MDR report key: 1700030 · Received May 25, 2010

Report

Report Number
1417592-2010-00030
Event Type
Other
Date Received
May 25, 2010
Report Date
May 18, 2010
Manufacturer
MEDLINE INDUSTRIES, INC.
Product Code
IOR
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A STAFF MEMBER WAS OPENING THE CHAIR AND HAD HER FINGERS WRAPPED AROUND THE SEAT TUBE. AS IT OPENED, HER FINGER WAS CAUGHT AND SHE SUFFERED A FRACTURE. THE INCIDENT OCCURRED SOME TIME IN (B)(6) BUT WAS NOT REPORTED UNTIL NOW. THE SAMPLE HAS NOT BEEN RETURNED FOR EVALUATION. NO LOT NUMBER PROVIDED. THE FACILITY REPORTED THAT THEY HAVE 7-10 SIMILAR WHEELCHAIRS AND THEY DO NOT KNOW WHICH ONE WAS INVOLVED IN THE INCIDENT. THE FACILITY REPORTS, THE INCIDENT WAS THE RESULT OF A LACK OF KNOWLEDGE ON THE PART OF THE STAFF MEMBER. THEY PLAN TO CONDUCT INSERVICE TRAINING FOR THE STAFF REGARDING THE CORRECT WAY TO OPEN A WHEELCHAIR. THEY STATED, THE INCIDENT RESULTED FROM A LACK OF APPROPRIATE TRAINING AND DUE TO THE STAFF MEMBER BEING RUSHED. THEY USE THESE CHAIRS THROUGHOUT THE FACILITY AND DO NOT HAVE SIMILAR ISSUES. NO REMEDIAL ACTION IS INDICATED AT THIS TIME. THIS MEDWATCH IS BEING FILED DUE TO THE REPORTED INJURY.

Description of Event or Problem · 1

WHEN OPENING THE CHAIR, A STAFF MEMBER WRAPPED HER FINGERS AROUND THE SEAT TUBES. AS THE CHAIR FULLY OPENED, SHE FRACTURED A FINGER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 WHEELCHAIR,BARIATRIC,26",REM F NONE IOR MEDLINE INDUSTRIES, INC. MDS809750 UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention