FDA Adverse Event Other Summary report: N

EASY CARE ELECTRIC BED

MDR report key: 3125358 · Received May 17, 2013

Report

Report Number
3009402404-2013-00025
Event Type
Other
Date Received
May 17, 2013
Date of Event
April 17, 2013
Report Date
May 16, 2013
Manufacturer
JOERNS HEALTHCARE
Product Code
FNL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

IT WAS REPORTED TO THE MFR BY THE FACILITY ((B)(6)), PER THE FACILITY THERE WERE TWO STAFF MEMBERS TRANSFERRING THE RESIDENT FROM WHEELCHAIR TO BED. WHEN THE STAFF WAS MOVING HER LEG INTO BED, THE LEFT LEG WAS ACCIDENTALLY CAUGHT/SCRAPED AT THE EDGE OF THE BED. THE RESIDENT SUSTAINED A SKIN TEAR ON THE LEFT LATERAL LOWER LEG. FIRST AID WAS ADMINISTERED AT THE FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
219952 EASY CARE ELECTRIC BED PATIENT HOSPITAL BED FNL JOERNS HEALTHCARE ECS7

Patients

Seq Age Sex Outcome Treatment
1 90 YR