FDA Adverse Event Other Summary report: N

HOME-CARE BED

MDR report key: 279984 · Received May 24, 2000

Report

Report Number
2182305-2000-00011
Event Type
Other
Date Received
May 24, 2000
Date of Event
May 4, 2000
Report Date
May 24, 2000
Manufacturer
SUNRISE MEDICAL CCG
Product Code
FNL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED PER THE DEALER HOME USER WHO WAS VERY HEAVY SET WANTED EXTRA BRAKES ON THEIR BED, DEALER WENT TO USER'S HOME AND PUT ON TWO EXTRA CASTER BRAKES (BED NOW HAS FOUR BED CASTER WITH BRAKES). HOME USER WENT TO GET UP FROM THE BED AND THE BED "GOT AWAY FROM USER AND USER FELL TO THE FLOOR. WAS TAKEN TO THE HOSP FOR EXAM NOTHING WAS FOUND, RELEASED AND WENT HOME. PER USER BEFORE FALL USER WAS SCHEDULED FOR SURGERY BECAUSE OF USER'S ARTHRITIS AND WAS RECEIVNG 8 HRS OF CARE, USER SAID USER'S DR SAID FALL AGGRAVATED USER'S ARTHRITIS NOW USER NEEDS 24 HOUR CARE. SURGERY STILL SCHEDLULED PER HOME USER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HOME-CARE BED HOME CARE THERAPEUTIC ADJUSTABLE BED FNL SUNRISE MEDICAL CCG SS2 *

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other