BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INOVATIVE PRODUCTS UNLILMITED

    MDR report key: 66480 · Received January 6, 1997

    Report

    Report Number
    66480
    Event Type
    Injury
    Date Received
    January 6, 1997
    Date of Event
    December 8, 1996
    Report Date
    December 17, 1996
    Manufacturer
    INOVATIVE PRODUCTS UNLIMITED
    Product Code
    ITJ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    GA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    RESIDENT FOUND LYING FACE DOWN ON FLOOR WITH WALKER ON TOP OF HER. RESIDENT BLEEDING FROM MOUTH AND NOSE. 1/2 CM CUT TO SIDE UPPER LIP; SMALL BRUISE TO NOSE AND SOME SWELLING. SKIN TEAR ABOVE RIGHT EYE, RIGHT HAND ON INSIDE OF 3RD FINGER. NEURO CHECKS EVERY SHIFT. RIGHT HAND SPLINT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INOVATIVE PRODUCTS UNLILMITED MERRY WALKER ITJ INOVATIVE PRODUCTS UNLIMITED * *

    Patients

    Seq Age Sex Outcome Treatment
    1 87 YR Hospitalization| L