BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 86294 · Received February 15, 1995

    Report

    Report Number
    86294
    Event Type
    Injury
    Date Received
    February 15, 1995
    Date of Event
    September 14, 1994
    Report Date
    October 27, 1994
    Manufacturer
    SYSTEMS SALES CORP.
    Product Code
    ILQ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NJ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NURSE CALL BELL NOT IN WALL UNIT. NO ALARM WENT OFF TO MAKE STAFF AWARE THAT CALL BELL SYSTEM INOPERATIVE. PT DISLODGED IV CATHETER AND BLEEDING OCCURRED; FOUND BY NURSE ON DOORWAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * CALL BELL SYSTEM ILQ SYSTEMS SALES CORP. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Hospitalization| L| R