BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EASY CARE SERIES BED

    MDR report key: 3030622 · Received March 25, 2013

    Report

    Report Number
    3009402404-2013-00014
    Event Type
    Injury
    Date Received
    March 25, 2013
    Date of Event
    February 26, 2013
    Report Date
    March 25, 2013
    Manufacturer
    JOERNS HEALTHCARE
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NV, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    JOERNS SENDING REPORT TO MANUFACTURER.

    Description of Event or Problem · 1

    IT WAS REPORTED TO THE MANUFACTURER BY THE FACILITY ((B)(6)), PER FACILITY, THE VISITOR OF THE RESIDENT WAS STANDING AT THE FOOT OF THE BED. THE RESIDENT WAS LIFTING THE BED UP, BY USE OF THE CONTROLS. THE BED SNAPPED AND FELL DOWN. THE BED LANDED ON THE VISITOR'S TOE. THE FACILITY ((B)(4)) CALLED 911 AND THE VISITOR WAS TRANSPORTED TO THE EMERGENCY ROOM. AN X-RAY WAS PERFORMED TO DETERMINE THAT THE TOE WAS FRACTURED. COMPLAINT (B)(4) WAS ENTERED INTO OUR SYSTEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    121430 EASY CARE SERIES BED ELECTRIC PATIENT BED FNL JOERNS HEALTHCARE B330

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Required Intervention