FDA Adverse Event Other Summary report: N

HOSPITAL BED ELECTRIC

MDR report key: 3037255 · Received March 18, 2013

Report

Report Number
3009402404-2013-00011
Event Type
Other
Date Received
March 18, 2013
Date of Event
February 4, 2013
Report Date
March 18, 2013
Manufacturer
JOERNS HEALTHCARE
Product Code
FNL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

IT WAS REPORTED TO THE MANUFACTURER BY THE FACILITY ((B)(6)), PER FACILITY THE NURSE HAD LOWERED THE RAILS TO TURN THE PATIENT. AFTER TURNING THE PATIENT, THE NURSE LEFT THE ROOM AND DID NOT RETURN THE RAILS TO THE UP POSITION. WHEN THE NURSE RETURNED TO THE ROOM, THE PATIENT FALLEN OUT OF THE BED. THE PATIENTS HEAD WAS ON THE MATTRESS WITH HIS KNEES AND LOWER LEGS ON THE FLOOR. THE PATIENT HAS ABRASIONS ON BOTH SHEENS. FIRST AID WAS PERFORMED WITHOUT ANY FURTHER MEDICAL EVALUATION. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
111804 HOSPITAL BED ELECTRIC PATIENT HOSPITAL BED WITH AIR MATTRESS FNL JOERNS HEALTHCARE BARI 10A WITH ARISE

Patients

Seq Age Sex Outcome Treatment
1 60 YR Hospitalization