BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NRI FOWLER BACK STRETCHER

    MDR report key: 5240126 · Received November 18, 2015

    Report

    Report Number
    MW5057985
    Event Type
    Injury
    Date Received
    November 18, 2015
    Date of Event
    November 5, 2015
    Report Date
    November 6, 2015
    Manufacturer
    BIODEX MEDICAL SYSTEMS, INC.
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MD, US
    Reporter Occupation
    2

    Narratives

    Description of Event or Problem · 1

    WHEN PATIENT WAS PLACED ON MRI STRETCHER, THE WHEEL FELL OFF AND THE PATIENT FELL TO THE FLOOR FACE DOWN. HE WAS TAKEN TO THE ED FOR EVALUATION AND IMAGING STUDIES WERE COMPLETED, WHICH WERE NEGATIVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    765250 NRI FOWLER BACK STRETCHER MRI FOWLER BACK STRETCHER FPO BIODEX MEDICAL SYSTEMS, INC. 240-110

    Patients

    Seq Age Sex Outcome Treatment
    1 38 YR Required Intervention