FDA Adverse Event Injury Summary report: N

DRIVE

MDR report key: 17371068 · Received July 21, 2023

Report

Report Number
2438477-2023-00080
Event Type
Injury
Date Received
July 21, 2023
Report Date
August 2, 2023
Manufacturer
SHENYANG HENYI ENTERPRISE CO., LTD
Product Code
FNL
UDI-DI
00822383179490
Adverse Event
Yes
Product Problem
Yes
Report Source
Distributor report
Reporter Location
NY, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Description of Event or Problem · 0

DRIVE DEVILBISS HEALTHCARE WAS NOTIFIED OF A COMPLAINT REGARDING A BED RAIL BY AN END USER'S AIDE, WHO STATED THAT SHE "FOUND [THE END USER] WITH HIS NECK AND ARM STUCK IN THE BED RAIL," AND THAT "THE SPRING-LOADED KNOB HAS FAILED AND THEY ARE NO LONGER ABLE TO ADJUST THE RAILS." THE AIDE DID NOT SPECIFY THE LOCATION WHERE THE END USER'S NECK AND ARM WERE STUCK. THE AIDE REPORTED THAT THE END USER SUSTAINED SOME BRUISING TO HIS KNEES, BUT DID NOT SPECIFY HOW THE BRUISING WAS RELATED TO THE INCIDENT. THE AIDE SPECIFIED THAT THE END USER DID NOT REQUIRE ANY MEDICAL TREATMENT. DRIVE MADE SEVERAL ATTEMPTS TO CONTACT THE REPORTER AND END USER IN ORDER TO RETRIEVE THE PRODUCT FOR INSPECTION BUT WAS UNABLE TO MAKE FURTHER CONTACT. DRIVE WILL CONTINUE TO MONITOR FOR ANY RELATED TRENDS.

Description of Event or Problem · 0

DRIVE DEVILBISS HEALTHCARE WAS NOTIFIED OF A COMPLAINT REGARDING A BED RAIL BY AN END USER'S AIDE, WHO STATED THAT SHE "FOUND [THE END USER] WITH HIS NECK AND ARM STUCK IN THE BED RAIL," AND THAT "THE SPRING-LOADED KNOB HAS FAILED AND THEY ARE NO LONGER ABLE TO ADJUST THE RAILS." THE AIDE DID NOT SPECIFY THE LOCATION WHERE THE END USER'S NECK AND ARM WERE STUCK. THE AIDE REPORTED THAT THE END USER SUSTAINED SOME BRUISING TO HIS KNEES, BUT DID NOT SPECIFY HOW THE BRUISING WAS RELATED TO THE INCIDENT. THE AIDE SPECIFIED THAT THE END USER DID NOT REQUIRE ANY MEDICAL TREATMENT. DRIVE MADE SEVERAL ATTEMPTS TO CONTACT THE REPORTER AND END USER IN ORDER TO RETRIEVE THE PRODUCT FOR INSPECTION BUT WAS UNABLE TO MAKE FURTHER CONTACT. DRIVE WILL CONTINUE TO MONITOR FOR ANY RELATED TRENDS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2106819 DRIVE BED RAILS FNL SHENYANG HENYI ENTERPRISE CO., LTD 15001ABV 00822383179490

Patients

Seq Age Sex Outcome Treatment
1 Male