BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MERIDIAN

    MDR report key: 7702231 · Received July 19, 2018

    Report

    Report Number
    3012316249-2018-00043
    Event Type
    Injury
    Date Received
    July 19, 2018
    Date of Event
    May 21, 2018
    Report Date
    July 19, 2018
    Manufacturer
    EEZCARE MEDICAL CORP.
    Product Code
    FNM
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    IL, US
    Reporter Occupation
    501

    Narratives

    Description of Event or Problem · 1

    PATIENT WAS FOUND FACE DOWN NEXT TO HER BED IN THE LOWEST POSITION WITH THE BOLSTERS IN PLACE. FACILITY STAFF CALLED 911 & END USER WAS TRANSFERRED FROM ER TO VIPU WITH CONFIRMED LEFT HIP FRACTURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    545687 MERIDIAN 8" APM - 8LPM PUMP WITH FOAM BASE FNM EEZCARE MEDICAL CORP. MER-4500

    Patients

    Seq Age Sex Outcome Treatment
    1 92 YR Hospitalization