BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ECOLAB

    MDR report key: 9714313 · Received February 14, 2020

    Report

    Report Number
    1043582-2020-00001
    Event Type
    Injury
    Date Received
    February 14, 2020
    Date of Event
    January 26, 2020
    Report Date
    January 30, 2020
    Manufacturer
    MICROTEK MEDICAL INC.
    Product Code
    KME
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    501

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A PATENT FELL OUT OF THE ARM BOARD COVER AND FRACTURED THEIR RIGHT RADIUS AS A RESULT OF THE FALL. MEDICAL INTERVENTION WAS REQUIRED AND THE ARM WAS PLACED IN A CAST TO PREVENT PERMANENT DAMAGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    177885 ECOLAB CLEANOP INFECTION CONTROL SYSTEM KME MICROTEK MEDICAL INC. RWJUH-NB-04D

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention