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