BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DRIVE "T' STYLE HALF RAILS

    MDR report key: 19751541 · Received July 15, 2024

    Report

    Report Number
    MW5157305
    Event Type
    Injury
    Date Received
    July 15, 2024
    Date of Event
    July 10, 2024
    Report Date
    July 11, 2024
    Manufacturer
    DRIVE / MEDICAL DEPOT INC. DBA DRIVE DEVILBISS HEALTHCARE
    Product Code
    FNJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    501
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    WHILE RECEIVING CARE, RESIDENTS SIDERAIL BROKE OFF OF THE BED RESULTING IN RESIDENT FALLING TO THE FLOOR AND INJURY. APPROPRIATE RAIL ATTACHMENT WAS PROVIDED FOR BED. RESIDENT WEIGHT WAS WITHIN THE GUIDELINES OF THE BED MANUFACTURER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2165473 DRIVE "T' STYLE HALF RAILS BED, MANUAL FNJ DRIVE / MEDICAL DEPOT INC. DBA DRIVE DEVILBISS HEALTHCARE 15021BV

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR Female Hospitalization