FDA Adverse Event Other Summary report: N

PRO-2000 BLOWER

MDR report key: 275434 · Received April 17, 2000

Report

Report Number
275434
Event Type
Other
Date Received
April 17, 2000
Date of Event
April 5, 2000
Report Date
April 15, 2000
Manufacturer
CARDIOSYSTEMS OWNED BY MEDIQ PRN
Product Code
INX
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
IN, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

PT IS A RESIDENT OF LONG TERM CARE NURSING FACILITY. THE PT WAS PLACED ON A SPECIALIZED BED ON 03/17/2000 TO PROMOTE HEALING AND PREVENT PRESSURE ULCERS. ON 04/05/2000, THE RESIDENT WAS FOUND WITH A 2 & 3RD DEGREE BURNS ON THE LEFT FOOT. THE MOTOR OF THE SPECIALIZED BED (PRO-2000) WAS MOUNTED TO THE FOOT BOARD. THE RESIDENT WAS FOUND WITH FOOT AGAINST MOTOR. THE REP WAS CONTACTED. THE BED WAS RETURNED TO THE CO ON 04/05/2000 FOR TESTING. ALL OTHER PRO-2000 BEDS IN USE HAD BRACKETS ATTACHED TO HAVE MOTOR LOWERED AWAY FROM PT CONTACT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PRO-2000 BLOWER SPECIALTY BED INX CARDIOSYSTEMS OWNED BY MEDIQ PRN PRO-2000 UNK

Patients

Seq Age Sex Outcome Treatment
1 81 YR Other