BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BLOOD PRESSURE READING MACHINE AT WALMART #2177- SAN DIEGO, CA.

    MDR report key: 18291211 · Received December 7, 2023

    Report

    Report Number
    MW5149020
    Event Type
    Injury
    Date Received
    December 7, 2023
    Date of Event
    December 17, 2022
    Manufacturer
    PURSUANT HEALTH
    Product Code
    DXN
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    ON (B)(6) /2022 I WAS AT WALMART (B)(6) ON (B)(6), CA. I WENT TO THE PROVIDED BLOOD PRESSURE MACHINE, WHEN I WENT TO EXIT THE MACHINE MY LEFT FOOT CAUGHT ON A LOOSE CORD ON THE FLOOR BOARD. I FELL BACK ONTO THE SEAT THEN SLID OFF THE SEAT AND CRASHED TO THE FLOOR. I YELLED HELP AND A CUSTOMER AND EMPLOYEE CAME TO ME. I WAS TRANSPORTED BY EMT TO THE HOSPITAL. I HAD TWO FRACTURES TO MY PELVIC BONES AND JARRED THE SURROUNDING BONES AND SPINE. AFTER 2 DAYS IN THE ER I WAS TRANSFERRED TO SKILLED NURSING UNTIL (B)(6) 2023, THEN HOME FOR PHYSICAL THERAPY VISITS. ATTACHED YOU WILL FIND PICTURES OF THE LOOSE CORD THAT STILL EXISTS TO THIS DAY. SOMETHING NEEDS TO BE DONE TO SECURE THESE CORDS. IT IS A VERY DANGEROUS SITUATION FOR THE PUBLIC. THE CORD SHOULD BE PROPERLY SECURED SO OTHERS ARE NOT INJURED. IT APPEARS TO BE THE CORD FROM THE ARM CUFF TO THE DISPLAY SCREEN. REFER TO ADDITIONAL DOCUMENTS IN I2K.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1272078 BLOOD PRESSURE READING MACHINE AT WALMART #2177- SAN DIEGO, CA. SYSTEM, MEASUREMENT, BLOOD-PRESSURE, NON-INVASIVE DXN PURSUANT HEALTH 844-2

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR Female Hospitalization| R WALKER AND/OR CANE.