FDA Adverse Event
Other
Summary report: N
EASY CARE BED
MDR report key: 3560354
·
Received December 4, 2013
Report
- Report Number
- 3009402404-2013-00060
- Event Type
- Other
- Date Received
- December 4, 2013
- Date of Event
- November 9, 2013
- Report Date
- November 22, 2013
- Manufacturer
- JOERNS HEALTHCARE
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED TO THE MANUFACTURER BY THE FACILITY ((B)(6)), PER THE FACILITY THE EMPLOYEES WERE ASSISTING A RESIDENT OUT OF BED. THE RESIDENT'S LEG RUBBED AGAINST THE BED AND HE RECEIVED A SKIN TEAR ON HIS LOWER LEFT LEG. BASIC FIRST AID WAS PERFORMED AT THE FACILITY. COMPLAINT # (B)(4) HAS BEEN ENTERED INTO OUR SYSTEM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 628612 | EASY CARE BED | ELECTRIC PATIENT BED | FNL | JOERNS HEALTHCARE | ECSBED |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 93 YR |