FDA Adverse Event Death Summary report: N

DRIVE

MDR report key: 17260643 · Received July 5, 2023

Report

Report Number
2438477-2023-00081
Event Type
Death
Date Received
July 5, 2023
Report Date
July 5, 2023
Manufacturer
NANTONG SHUNLONG PHYSICAL THERAPY EQUIPMENT CO., L
Product Code
FNL
Adverse Event
Yes
Product Problem
Yes
Report Source
Distributor report
Reporter Location
AZ, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Description of Event or Problem · 0

DRIVE DEVILBISS HEALTHCARE WAS NOTIFIED OF AN INCIDENT INVOLVING A BED BY A HOSPICE CENTER WHO STATED THAT "WHEN THE PATIENT WAS TRANSFERRED INTO THE BED, THE BED COMPLETELY COLLAPSED AND WAS IN FOUR PIECES AND THE PATIENT HAD TO BE LIFTED AND PLACED IN A WHEELCHAIR UNTIL A NEW BED WAS DELIVERED." THERE WAS NO INFORMATION PROVIDED REGARDING ANY SPECIFIC DEFECT IN THE UNIT, OR WHETHER THE ISSUE WAS RELATED TO THE ASSEMBLY OF THE BED. THE PATIENT REPORTEDLY DIED HOURS LATER, BUT THERE WAS NO INDICATION WHETHER THE DEATH WAS RELATED TO THE INCIDENT. DRIVE IS CURRENTLY INVESTIGATING THE INCIDENT, INCLUDING ATTEMPTING TO INSPECT THE UNIT, AND WILL FILE AN UPDATE IF ADDITIONAL INFORMATION BECOMES AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
418000 DRIVE BED FNL NANTONG SHUNLONG PHYSICAL THERAPY EQUIPMENT CO., L 15005LP

Patients

Seq Age Sex Outcome Treatment
1 Unknown Death