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 |