BEUDAMED
    FDA Adverse Event Other Summary report: N

    HOSPITAL BED

    MDR report key: 2031893 · Received March 21, 2011

    Report

    Report Number
    2182305-2011-00007
    Event Type
    Other
    Date Received
    March 21, 2011
    Date of Event
    February 23, 2011
    Report Date
    March 17, 2011
    Manufacturer
    JOERNS HEALTHCARE
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED TO MFR, BY FACILITY; (B)(6), PER FACILITY THEY HAD A BED CENTER PIVOT BRACKET COME LOOSE AND THE BED ALLEGEDLY DROPPED, CAUSING THE RESIDENT MINOR INJURY OF BACK PAIN AND SOME BRUISING. THIS WAS PART OF AN EARLY ORDER OF 170 BEDS THAT THE PIVOT BRACKETS WERE COMING LOOSE FROM THE MAIN FRAME WHICH THE FACILITY REQUESTED A FEW BRACKETS KITS AT THAT TIME; THEY ARE REQUESTING 6 MORE BRACKET KITS. (B)(4) ENTERED NO RA WAS ISSUED TO GET PARTS BACK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOSPITAL BED HOSPITAL BED MANUAL FNL JOERNS HEALTHCARE B330

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other