FDA Adverse Event
Injury
Summary report: N
FLORENCE BED/ ELECTRIC MED SURG BED
MDR report key: 5145097
·
Received September 25, 2015
Report
- Report Number
- 3009591865-2015-00002
- Event Type
- Injury
- Date Received
- September 25, 2015
- Date of Event
- August 25, 2015
- Report Date
- September 25, 2015
- Manufacturer
- UMANO MEDICAL INC
- Product Code
- FNL
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Additional Manufacturer Narrative · 1
UMANO MEDICAL INC FILLING AS THE MANUFACTURER (B)(4) FILLING AS THE IMPORTER/LEGAL MANUFACTURER.
Description of Event or Problem · 1
IT WAS REPORTED THAT BED SLIDES ON THE FLOOR WHEN THE BRAKE POSITION IS ENGAGED. IT WAS REPORTED THAT A HOSPITAL EMPLOYEE/ USER WAS INJURED AS A RESULT OF THE ISSUE. IT WAS FURTHER REPORTED THAT A NURSE INJURED HIS BACK DURING PATIENT TRANSFER, BUT NO DETAILS REGARDING THE SEVERITY OF THE ALLEGED INJURY WERE PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 637289 | FLORENCE BED/ ELECTRIC MED SURG BED | HOSPITAL BED A-C POWERED ADJUSTABLE | FNL | UMANO MEDICAL INC | FL23SE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |