BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CAREVO

    MDR report key: 3952405 · Received June 18, 2014

    Report

    Report Number
    1419652-2014-00175
    Event Type
    Injury
    Date Received
    June 18, 2014
    Date of Event
    June 5, 2014
    Report Date
    June 6, 2014
    Manufacturer
    ARJOHUNTLEIGH POLSKA SP. Z O.O.
    Product Code
    FNG
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY THE COMPANY REPRESENTATIVE: "PATIENT WAS SUPPORTED FROM NURSING STAFF INTO THE SHOWER TROLLEY FOR TAKING A SHOWER. TO DRY HIS BACK, HE WAS MOVED ON THE LEFT SIDE, HE KEPT HOLDING AT THE DROP SIDE FRAME. THE DROP SIDE FRAME LOOSENED, DROPPED DOWN AND THE PATIENT FELL DOWN ON THE FLOOR. MAYBE THE REAR LOCKING WAS NOT COMPLETELY LOCKED IN PLACE AND PATIENT LOOSENED THE FRONT LOCKING BY HOLDING HIMSELF AT THE SIDE FRAME, SO THAT THE SIDE FRAME COULD DROP DOWN." REFERENCE MFR # 3007420694-2014-00073.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    357510 CAREVO FNG ARJOHUNTLEIGH POLSKA SP. Z O.O. BAC1111-01

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Hospitalization