BEUDAMED
    FDA Adverse Event Injury Summary report: N

    3002 MASTER BOMS

    MDR report key: 3911462 · Received July 3, 2014

    Report

    Report Number
    0001831750-2014-03128
    Event Type
    Injury
    Date Received
    July 3, 2014
    Date of Event
    June 12, 2014
    Report Date
    June 12, 2014
    Manufacturer
    STRYKER MEDICAL-KALAMAZOO
    Product Code
    FNL
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    INVESTIGATION DETERMINED THE LOCKING MECHANISM WAS DAMAGED AND SHOWED SIGNS OF IMPACT.

    Description of Event or Problem · 1

    IT WAS REPORTED VIA REPAIR WORK ORDER THAT WHILE EXITING THE BED, A PATIENT WAS ALLEGEDLY INJURED HOLDING ONTO THE SIDERAIL FOR SUPPORT AND IT COLLAPSED. THE PATIENT ALLEGEDLY SUFFERED A LACERATION TO THE LEFT HAND; HOWEVER, NO STITCHES WERE REQUIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    389314 3002 MASTER BOMS BED, AC-POWERED ADJUSTABLE HOSPITAL FNL STRYKER MEDICAL-KALAMAZOO

    Patients

    Seq Age Sex Outcome Treatment
    1