BEUDAMED
    FDA Adverse Event Other Summary report: N

    BED, HOSPITAL

    MDR report key: 963266 · Received December 11, 2007

    Report

    Report Number
    2182305-2007-00044
    Event Type
    Other
    Date Received
    December 11, 2007
    Date of Event
    November 25, 2007
    Report Date
    November 30, 2007
    Manufacturer
    JOERNS HEALTHCARE, INC.
    Product Code
    FNJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    SALES REP WILL BE DOING A COURSITY SITE VISIT.

    Description of Event or Problem · 1

    IT WAS REPORTED TO MANUFACTURER BY FACILITY. PER FACILITY DURING A RESIDENT TRANSFER, THE STAFF MEMBER STATED SHE WAS PUTTING RESIDENT BACK IN BED, WHEN THEY LOST THEIR FOOTING AND BOTH SLIPPED WHICH RESULTED IN THE RESIDENT FALLING FORWARD HITTING THE BED HEAD PANEL, PER STRIKING THE METAL POST. PER FACILITY, IT WAS DETERMINED THAT MOST OF THE BED PANELS IN THE FACILITY HAD BEEN REMOVED AND THEN REPLACED INCORRECTLY. THIS ACTION RESULTED IN THE METAL POSTS THAT ARE ON THE BED PANELS TO BE POSITIONED INWARDS TOWARDS THE MATTRESS INSTEAD OF ON THE EXTERIOR OF THE BED PANELS OUTWARDS AWAY FROM THE MATTRESS AS THEY SHOULD HAVE BEEN. RESIDENT WAS TAKEN TO THE HOSPITAL FOR MEDICAL EXAM, SHE NEEDED SUTURES TO HER FOREHEAD. SHE IS BACK AT THE NH, AND IT WAS REPORTED SHE IS DOING FINE. FACILITY REQUESTED A VISIT BY A MANUFACTURER REPRESENTATIVE, SALE PERSON WILL BE DOING A COURSITY ON SITE VISIT TO EVALUATE THEIR BEDS. TRIP REPORT FORTHCOMING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BED, HOSPITAL BED, HOSPITAL, MANUAL FNJ JOERNS HEALTHCARE, INC. NEED TO IDENTIFY

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Other