FDA Adverse Event Injury Summary report: N

*

MDR report key: 305725 · Received November 9, 2000

Report

Report Number
305725
Event Type
Injury
Date Received
November 9, 2000
Date of Event
November 3, 2000
Report Date
November 6, 2000
Manufacturer
INNOVATIVED PRODUCTS- IPU
Product Code
FNL
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CO, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

PT ATTEMPTED TO GET UP FROM LOW BED (PVC FRAME LOW BED). PT HIT NOSE ON EDGE OF PVC PIPE CAUSING A SEVERE LACERATION TO DISTAL 1/3 OF NOSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 * LOW BED FNL INNOVATIVED PRODUCTS- IPU 46270/46280 *

Patients

Seq Age Sex Outcome Treatment
1 78 YR Required Intervention