BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FAIRFIELD MEDICAL HEAD RAIL SYSTEM

    MDR report key: 84536 · Received July 3, 1996

    Report

    Report Number
    84536
    Event Type
    Malfunction
    Date Received
    July 3, 1996
    Date of Event
    March 30, 1996
    Report Date
    May 30, 1996
    Manufacturer
    MEDAES INCORPORATED
    Product Code
    FNJ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    WA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    WHILE RAISING A PT'S BED THE OXYGEN OUTLET WAS HIT BY THE BED. THE OUTLET WAS SHEARED OFF THE RAIL SYSTEM. THE FORCE OF THE AIR BLEW THE OUTLET AND NEBULIZER THAT WERE IN USE ACROSS THE ROOM. NO ONE WAS INJURED. (ALL AIR TO THE UNIT HAD TO BE SHUT OFF TO REPAIR OUTLET.)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FAIRFIELD MEDICAL HEAD RAIL SYSTEM HEAD RAIL FOR MEDICAL GAS OUTLET FNJ MEDAES INCORPORATED * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other