BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ARJO SONATA

    MDR report key: 52203 · Received November 26, 1996

    Report

    Report Number
    52203
    Event Type
    Injury
    Date Received
    November 26, 1996
    Date of Event
    November 8, 1996
    Report Date
    November 25, 1996
    Manufacturer
    ARJO MANUFACTURING
    Product Code
    ILJ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    NE, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE NURSING ASSISTANT HAD GIVEN THE RESIDENT A BATH IN THE RECUMBANT TUB USING THE BATHING CART. THE CART WITH THE RESIDENT WAS MOVED FROM TUB. THE UPPER BODY SAFETY BELT WAS RELEASED TO DRY THE RESIDENT. AFTER DRYING THE RESIDENT WITH THE CART IN SEMIRECUMBANT POSITION THE NA PROCEEDED TO PUT ON HOSIERY. THE RESIDENT REACHED OVER WITH L ARM TO THE R AND ROLLED OFF THE CART WHICH WAS ABOUT 24 IN ABOVE THE FLOOR. RESIDENT TRANSFERRED TO ER WITH DIAGNOSIS OF FX R ZYGOMA AND MAXILLARY AND FX R SCAPULA. HOSP 11/8 - 11/15.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARJO SONATA HYDROSONIC RECUMBANT TUB ILJ ARJO MANUFACTURING 219100-04 *

    Patients

    Seq Age Sex Outcome Treatment
    1 90 YR Hospitalization