BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BED ONLY,4-MOTOR,HI/LOW,34.5W

    MDR report key: 18229569 · Received November 29, 2023

    Report

    Report Number
    1417592-2023-00472
    Event Type
    Injury
    Date Received
    November 29, 2023
    Date of Event
    November 6, 2023
    Report Date
    November 29, 2023
    Manufacturer
    MEDLINE INDUSTRIES, LP
    Product Code
    FNL
    UDI-DI
    40080196289067
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 0

    ACCORDING TO THE FACILITY THE "MAINTENANCE PERSON WAS UNDER THE BED MAKING A SMALL REPAIR WHEN HEAD ACTUATOR BROKE, AND BED FELL ON HIM". PER THE FACILITY THE "MAINTENANCE PERSON NEEDED STITCHES AND MEDICAL ATTENTION, AND THEY ARE RECOVERING". THE DEVICE WAS PURCHASED THROUGH THEIR "MEDLINE INDUSTRIES, LP SUPPLIER AT AN UNKNOWN DATE". NO ADDITIONAL INFORMATION IS AVAILABLE. THE SAMPLE WAS REQUESTED FOR EVALUATION. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT CAUSED OR CONTRIBUTED TO SERIOUS INJURY REQUIRING MEDICAL INTERVENTION, THEREFORE, THIS MEDWATCH IS BEING FILED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED OR OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED.

    Description of Event or Problem · 0

    ACCORDING TO THE FACILITY THE "MAINTENANCE PERSON WAS UNDER THE BED MAKING A SMALL REPAIR WHEN HEAD ACTUATOR BROKE, AND BED FELL ON HIM".

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    718311 BED ONLY,4-MOTOR,HI/LOW,34.5W FNL MEDLINE INDUSTRIES, LP 40080196289067

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Other