BEUDAMED
    FDA Adverse Event Other Summary report: N

    HOSPITAL BED

    MDR report key: 2105334 · Received May 18, 2011

    Report

    Report Number
    2182305-2011-00013
    Event Type
    Other
    Date Received
    May 18, 2011
    Date of Event
    March 25, 2011
    Report Date
    April 21, 2011
    Manufacturer
    JOERNS HEALTHCARE
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED TO MANUFACTURER, BY FACILITY; (B)(6), PER FACILITY, THE SLEEP DECK BEARINGS TO THE BACK SECTION ON A U770 BED BROKE CAUSING THE BACK SECTION TO DROP. THERE WAS A PATIENT IN THE BED WITH A CERVICAL COLLAR ON AT THE TIME OF INCIDENT. CUSTOMER STATED MINIMAL INJURY TO THE PATIENT I.E., IN A LITTLE MORE PAIN AT THIS TIME. ANOTHER CAT SCAN IN SCHEDULED. PICTURES WERE SENT BY FACILITY FOR MANUFACTURER TO REVIEW. (B)(4) WAS ENTERED TO GET BED BACK FOR EVALUATION. FACILITY WILL NOT RELEASE BED IN QUESTION SO MANUFACTURER WILL BE SENDING IN (B)(4) OUR SERVICE TEAM INTO FACILITY TO DO INSPECTION OF BED AND TAKE PICTURES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOSPITAL BED HOSPITAL BED ELECTRIC FNL JOERNS HEALTHCARE U770

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other