BEUDAMED
    FDA Adverse Event Other Summary report: N

    SUNTEC GRID SHAFT BED

    MDR report key: 3054869 · Received April 8, 2013

    Report

    Report Number
    3009402404-2013-00018
    Event Type
    Other
    Date Received
    April 8, 2013
    Date of Event
    February 11, 2013
    Report Date
    April 8, 2013
    Manufacturer
    JOERNS HEALTHCARE
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED TO THE MANUFACTURER BY THE FACILITY ((B)(4) CENTER), PER FACILITY THE RESIDENT WAS BEING TRANSFERRED FROM AMBULANCE COT TO THE BED. THE RESIDENT STOOD BESIDE THE BED AND WAS LOWERED TO SIT ON THE SIDE OF THE BED WITH ASSISTANCE. THE BED COLLAPSED IN THE MIDDLE AND LANDED ON THE STAFF MEMBERS LEFT FOOT. THE RESIDENT WAS ASSISTED BACK TO THE AMBULANCE COT UNTIL ANOTHER BED COULD BE BROUGHT INTO THE ROOM. THE RESIDENT WAS STARTLED, BUT NOT INJURED. THE STAFF MEMBER WAS SENT TO THE EMERGENCY ROOM FOR AN X-RAY AND IT WAS DETERMINED THAT THE LEFT FOOT WAS STRAINED. THE STAFF MEMBER RELEASED FROM THE EMERGENCY ROOM TO RETURN TO WORK WITH 2 DAYS LIGHT DUTY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    144228 SUNTEC GRID SHAFT BED ELECTRIC HOSPITAL BED FNL JOERNS HEALTHCARE SS3A

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR Hospitalization