FDA Adverse Event Injury Summary report: N

HILL-ROM, ADVANTA BED

MDR report key: 3060127 · Received April 9, 2013

Report

Report Number
MW5029738
Event Type
Injury
Date Received
April 9, 2013
Date of Event
March 22, 2013
Report Date
April 9, 2013
Manufacturer
UNK
Product Code
FNL
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

PT REPORTED ON (B)(6) 2013, HE WAS TURNING TO HIS RIGHT SIDE AND HIS LEFT LEG WAS CAUGHT ON THE LEFT LOWER SIDE RAIL WHICH CAUSED FRACTURE OF HIS RIGHT LEG. THE BED WAS MANUFACTURED BY HILL-ROM, MODEL NAME: AVANTA, S/N (B)(4). FACILITY BIO-MED PERSONNEL CHECKED THE BED AND DID NOT FIND ANY ISSUE. HILL-ROM REPRESENTATIVE ALSO CHECKED THE BED AND THERE WAS NO ISSUE FOUND. THE BED WAS REMOVED FROM SERVICE AS A PRECAUTIONARY MEASURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
147871 HILL-ROM, ADVANTA BED HOSPITAL BED FNL UNK

Patients

Seq Age Sex Outcome Treatment
1 28 YR Hospitalization