FDA Adverse Event Injury Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 2012811 · Received March 1, 2011

Report

Report Number
3003433498-2011-00002
Event Type
Injury
Date Received
March 1, 2011
Date of Event
February 1, 2011
Report Date
March 1, 2011
Manufacturer
INVACARE
Product Code
FNL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A RESIDENT REPORTEDLY CAUGHT AND LODGED THEIR ARM UNDER THE MATTRESS AND ASSIST RAIL. IN ATTEMPT TO DISLODGE THEIR ARM THEY ALLEGEDLY PARTIALLY DISLOCATED THEIR SHOULDER DUE TO THE INCIDENT, AND IS CURRENTLY WEARING A SLING. A TECHNICIAN HAS SINCE INSPECTED THE BED AND THE BED HAD NO MECHANICAL ISSUES. THE INCIDENT COULD NOT BE REPLICATED. THE RAILS WERE IN WORKING ORDER WITH NO DISCREPANCIES OBSERVED. THE USER LIKELY GRABBED THE RAIL AND SLIPPED LODGING THEIR ARM WHILE ENTERING THEIR BED. NO MALFUNCTION IS APPARENT. THERE IS NO HISTORY TO SUGGEST A PRODUCT PROBLEM. MDR FILED ON ALLEGED INJURY.

Description of Event or Problem · 1

THE FACILITY ALLEGES A RESIDENT GOT HIS ARM CAUGHT IN AN ASSIST RAIL AND LODGED UNDER THE MATTRESS. THE RESIDENT ALLEGEDLY SUSTAINED A PARTIALLY DISLOCATED SHOULDER AS A RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL INVACARE ECHO BED

Patients

Seq Age Sex Outcome Treatment
1