FDA Adverse Event Injury Summary report: N

METAL CLIP

MDR report key: 2926136 · Received January 15, 2013

Report

Report Number
MW5028657
Event Type
Injury
Date Received
January 15, 2013
Date of Event
November 19, 2012
Report Date
January 15, 2013
Product Code
UNK
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
LA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

METAL CLIP USED TO CLIP CALL LIGHT TO SHEETS OR PT CLOTHING SCRATCHED RESIDENT DURING TRANSFER TO BED FROM WHEELCHAIR CAUSING LACERATION WHICH REQUIRED 19 STAPLES TO CLOSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
21878 METAL CLIP UNK

Patients

Seq Age Sex Outcome Treatment
1 98 YR