BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEAVY DUTY TRAPEZE 200LB. PULL WEIGHT

    MDR report key: 3221718 · Received July 5, 2013

    Report

    Report Number
    MW5030824
    Event Type
    Injury
    Date Received
    July 5, 2013
    Date of Event
    December 6, 2012
    Report Date
    June 28, 2013
    Manufacturer
    MIZUHO / HILL-ROM
    Product Code
    FMR
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A PT HOSPITALIZED AT OUR FACILITY FOLLOWING A TOTAL HIP REPLACEMENT WAS ATTEMPTING TO BOOST HIMSELF UP IN HIS BED WITH THE HELP OF HOSPITAL STAFF AND A TRAPEZE SYSTEM ATTACHED TO THE BED. HE PULLED ON THE TRAPEZE BAR ATTACHED TO THE BED TO ASSIST IN BOOSTING HIM UP AND THE TRAPEZE CAME APART FROM THE CHAIN AND HE FELL BACK INTO THE BED WITH THE TRAPEZE BAR HITTING HIM IN THE CHEST. A "S HOOK" IN THE CHAIN SYSTEM ON THE TRAPEZE MALFUNCTIONED WHEN A CHAIN LINK PASSED THROUGH THE "S HOOK" CAUSING THE TRAPEZE BAR TO RELEASE FROM THE CHAIN SYSTEM AND BACK AT THE PT. THE PT EXPERIENCED AN INJURY TO HIS SHOULDER AND TRAPEZIUS MUSCLE WHICH REQUIRED PHYSICAL THERAPY POST HOSPITALIZATION. ONE OF THE NURSING STAFF THAT WAS ASSISTING THE PT WITH THE BOOST IN HIS BED ALSO EXPERIENCED AN INJURY TO HER NECK. SHE REQUIRED AN ANTERIOR FUSION SURGERY ON HER NECK WHICH WAS CAUSED BY THE PT'S ABRUPT FALL BACK IN HIS BED WHEN THE TRAPEZE BAR CAME APART FROM THE CHAIN OF THE TRAPEZE SYSTEM ON THE BED. REASON FOR USE: TOTAL HIP REPLACEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    307590 HEAVY DUTY TRAPEZE 200LB. PULL WEIGHT TRAPEZE SYSTEM FMR MIZUHO / HILL-ROM

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Required Intervention