BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDICAL POSITIONING

    MDR report key: 978290 · Received January 8, 2008

    Report

    Report Number
    MW5004934
    Event Type
    Injury
    Date Received
    January 8, 2008
    Date of Event
    December 13, 2007
    Report Date
    January 8, 2008
    Manufacturer
    MEDICAL POSITIONING, INC.
    Product Code
    JFB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    ND, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PATIENT WAS SITTING ON BED. HE LEANED TO RIGHT TO LIE DOWN FOR PROCEDURE. THE BED MADE A LOUD NOISE AND THE TOP PART OF THE BED FELL TO THE FLOOR. THE TOP OF THE BED WAS APPROX 3 FEET OFF THE FLOOR. THE BED WAS IN ITS LOWEST POSITION. THE PATIENT LANDED WITH HIS RIGHT SHOULDER AND ARM DOWN. NO VISIBLE INJURIES. PATIENT STATED, HE FELT HIS BACK AND RIGHT SHOULDER WERE "JOLTED". HE DENIED HITTING HIS HEAD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDICAL POSITIONING PROCEDURE BED - GSPM TABLE JFB MEDICAL POSITIONING, INC. 60362

    Patients

    Seq Age Sex Outcome Treatment
    1 YR Disability