FDA Adverse Event Other Summary report: N

HOME-CARE BED

MDR report key: 279049 · Received May 18, 2000

Report

Report Number
2182305-2000-00010
Event Type
Other
Date Received
May 18, 2000
Date of Event
March 1, 2000
Report Date
May 4, 2000
Manufacturer
SUNRISE MEDICAL CCG
Product Code
FNL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

HOME USER CALLED DEALER AND PER DEALER THE HOME USER SAID THE INCIDENT HAPPENED LAST MONTH. A CABLE SNAPPED AND THE RIGHT HEAD SECTION DROPPED TO ONE SIDE. PT ROLLED OVER AND FELL OUT OF BED AND BUMPED THE HEAD, COMPLAINED OF PAIN BUT NO MEDICAL TREATMENT SOUGHT. DEALER SENT OUT SERVICE TECH AND BED WAS REMOVED; A NEW BED WAS SET UP. BED IN QUESTION WAS RETURNED TO THE DEALER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HOME-CARE BED HOME CARE THERAPEUTIC ADJUSTABLE BED FNL SUNRISE MEDICAL CCG SV20 *

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other