FDA Adverse Event Other Summary report: N

EASY CARE ELECTRIC BED

MDR report key: 3140118 · Received May 24, 2013

Report

Report Number
3009402404-2013-00028
Event Type
Other
Date Received
May 24, 2013
Date of Event
April 13, 2013
Report Date
May 22, 2013
Manufacturer
JOERNS HEALTHCARE
Product Code
FNL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

JOERNS IS SENDING THE REPORT TO THE MFR.

Description of Event or Problem · 1

IT WAS REPORTED TO THE MFR BY THE FACILITY ((B)(6)), PER THE FACILITY, THE NURSING ASSISTANT WAS ASSISTING THE RESIDENT TO TRANSITION FROM SITTING ON THE EDGE OF THE BED, TO LAYING DOWN IN BED. WITH ONE ARM BEHIND THE RESIDENT SUPPORTING HER BACK AND ONE ARM UNDER THE RESIDENT'S LEGS, SHE LIFTED THE RESIDENT'S LEGS OFF THE FLOOR. THE NURSING ASSISTANT STOPPED AND LOWERED THE RESIDENT'S LEGS BACK TO THE FLOOR WHEN THE RESIDENT YELLED OUT. THE NURSING ASSISTANT NOTED BLOOD AND IDENTIFIED THE SKIN TEAR TO THE RESIDENT'S RIGHT LOWER LEG.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
232397 EASY CARE ELECTRIC BED PT HOSPITAL BED FNL JOERNS HEALTHCARE ECS7

Patients

Seq Age Sex Outcome Treatment
1 84 YR Hospitalization