FDA Adverse Event Summary report: N

ECHOBED DUAL

MDR report key: 3232378 · Received July 16, 2013

Report

Report Number
3232378
Date Received
July 16, 2013
Date of Event
July 5, 2013
Report Date
July 15, 2013
Manufacturer
MEDICAL POSITIONING, INC
Product Code
LGX
Report Source
User Facility report
Reporter Location
MD, US

Narratives

Description of Event or Problem · 1

THE PATIENT COMPLETED HER ECHOCARDIOGRAM AND WHILE SITTING UP SHE SCRAPED THE BACK OF HER RIGHT LEG WHILE PREPARING TO MOVE FROM THE ECHO BED BACK TO HER WHEEL CHAIR. PATIENT STATED THAT SHE HIT HER LEG. FLUID CONTAINING BLOOD WAS SEEN DRIPPING FROM HER UPPER CALF. PATIENT SCRAPED BACK OF HER LEG ON SMALL "POLE HOLDER" LOCATED ON LOWER RIGHT HALF OF ECHO BED WHEN DISMOUNTING. POLE HOLDERS HAVE BEEN REMOVED FROM BOTH OF THE ECHO BEDS. ONE BED HAS BEEN QUARANTINED BY THE DEPARTMENT; THE OTHER IS BEING HELD BY QUALITY AND SAFETY. THE ECHOBED THAT WAS USED IS WORKING PROPERLY. WE HAVE BEEN USING TWO ECHOBEDS IN OUR DEPARTMENT FOR SEVERAL YEARS WITHOUT INCIDENT. THE TOP AND SIDES OF THE ECHOBED ARE IN GOOD SHAPE.THERE ARE NO SHARP EDGES ON THE LOWER 1/2 OF THE ECHOBED.THE ECHOBEDS HAVE NOT BEEN MODIFIED SINCE PURCHASE. THE PATIENT DID REQUIRE A PROCEDURE AS A RESULT OF THE INJURY.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?ECHOCARDIOGRAM.DEVICE #1IS THIS A LABORATORY DEVICE OR LABORATORY TEST?NO.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
330153 ECHOBED DUAL TABLE, EXAMINATION, MEDICAL, POWERED LGX MEDICAL POSITIONING, INC 1222 *

Patients

Seq Age Sex Outcome Treatment
1 84 YR