FDA Adverse Event
Injury
Summary report: N
WHEELCHAIR - EVEREST JENNINGS
MDR report key: 49342
·
Received November 5, 1996
Report
- Report Number
- 49342
- Event Type
- Injury
- Date Received
- November 5, 1996
- Date of Event
- October 22, 1996
- Report Date
- November 4, 1996
- Manufacturer
- UNK
- Product Code
- IOR
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
A 3 X 3 V SHAPED SKIN TEAR OCCURRED ON RESIDENT'S (R) CALF DURING A TRANSFER PROCEDURE FROM WHEELCHAIR TO BATH CHAIR. THE GATCH FOR THE WC FOOT PEDALS IS SUSPECTED TO BE THE CAUSATIVE AGENT. FOOT RESTS WERE NOT USED ON THE RESIDENT'S WHEELCHAIR TO ENCOURAGE INDEPENDENT MOBILITY. THE GATCH SHOULD BE DESIGNED TO SWING BACK OR PUSH IN WHEN FOOTRESTS ARE NOT USED TO PREVENT HITTING LOWER EXTREMITIES OF FRAGILE ELDERLY. PT SUBSEQUENTLY DEVELOPED CELLULITIS AND REQUIRED FOLLOW-UP PHYSICIAN AND MEDICAL TREATMENT. PROTECTIVE VINYL COVERING THAT WRAPS AROUND GATCH DESIGNED BY FACILITY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | WHEELCHAIR - EVEREST JENNINGS | WHEELCHAIR | IOR | UNK | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 98 YR | Required Intervention |