FDA Adverse Event
Injury
Summary report: N
DRIVE
MDR report key: 18870238
·
Received March 8, 2024
Report
- Report Number
- 2438477-2024-00012
- Event Type
- Injury
- Date Received
- March 8, 2024
- Report Date
- March 8, 2024
- Manufacturer
- JIANGYIN HUASHI MEDICAL
- Product Code
- FNJ
- UDI-DI
- 00822383143361
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Distributor report
- Reporter Location
- MI, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
DRIVE DEVILBISS HEALTHCARE WAS NOTIFIED OF AN INCIDENT INVOLVING A BED RAIL BY A PATIENT, WHO REPORTED THAT AS HE USED THE RAIL TO ASSIST WITH STANDING UP, THE BAR BENT AND HE FELL TO THE FLOOR, BREAKING HIS HIP AND SUSTAINING OTHER BRUISES. DRIVE DEVILBISS HEALTHCARE IS IN THE PROCESS OF FACILITATING THE RETURN OF THE PRODUCT FOR INSPECTION AND WILL UPDATE THIS REPORT SHOULD ANY ADDITIONAL INFORMATION BECOME AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 168632 | DRIVE | BED, MANUAL | FNJ | JIANGYIN HUASHI MEDICAL | 15021BV | 00822383143361 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |