BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MASTER CARE

    MDR report key: 3113135 · Received November 8, 2006

    Report

    Report Number
    3005009085-2006-00006
    Event Type
    Injury
    Date Received
    November 8, 2006
    Date of Event
    July 21, 2006
    Report Date
    July 21, 2006
    Manufacturer
    MASTER CARE
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHEN PATIENT SAT ON BED, THE FRAME SEPARATED AND SHE FELL. (B)(6) FROM SENIOR RESPIRATORY SOLUTIONS THOUGHT THE PEG THAT HOLDS THE FRAME TOGETHER NEEDED A FLARED END SO THIS WOULDN'T HAPPEN. PATIENT TOOK AMBULANCE FROM HOSPICE TO HOSPITAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MASTER CARE SEMI-ELECTRIC BED FNL MASTER CARE HB90070

    Patients

    Seq Age Sex Outcome Treatment
    1