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 |