FDA Adverse Event Injury Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 2973243 · Received February 21, 2013

Report

Report Number
1525712-2013-01337
Event Type
Injury
Date Received
February 21, 2013
Date of Event
December 8, 2012
Report Date
February 21, 2013
Manufacturer
UNKNOWN
Product Code
FNL
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

(B)(4) IT WAS REPORTED BY THE TERRITORY BUSINESS MANAGER THAT THE PATIENT WAS SITTING ON THE UNSPECIFIED INVACARE BED OPERATING THE HAND PENDANT, AND DURING THAT TIME THE HUSBAND ALLEGEDLY HEARD THE MOTOR GRINDING. HE ASKED HER TO STOP, AND GRABBED HER JUST BEFORE THE BED DROPLET THE HEAD SECTION, WHICH SLAMMED DOWN. THE EVENT ALLEGEDLY RESULTED IN BACK, NECK, AND SHOULDER INJURIES, AS WELL AS HER ARM BEING SEVERELY SWOLLEN AND THE BONE WAS PRESSING ON HER SKIN. MEDICAL INTERVENTION WAS SOUGHT, AND NO DETAILED INFORMATION WAS PROVIDED. SHOULD WE RECEIVE ADDITIONAL INFORMATION, THIS FILE WILL BE REVISED, AND A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 1

(B)(4) IT WAS REPORTED BY THE TERRITORY BUSINESS MANAGER THAT THE PATIENT WAS SITTING ON THE UNSPECIFIED INVACARE BED OPERATING THE HAND PENDANT, AND DURING THAT TIME THE HUSBAND ALLEGEDLY HEARD THE MOTOR GRINDING. HE ASKED HER TO STOP, AND GRABBED HER JUST BEFORE THE BED DROPLET THE HEAD SECTION, WHICH SLAMMED DOWN. THE EVENT ALLEGEDLY RESULTED IN INJURIES, AS WELL AS HER ARM BEING SEVERELY SWOLLEN, AND THE BONE PRESSING ON HER SKIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
77475 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL UNKNOWN UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Other