REXX QD2000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2014-04-07 for REXX QD2000 manufactured by M. C. Healthcare Products (a Division Of Span Medical Products).

Event Text Entries

[4550615] A resident was sitting on the side of her bed. A garbage can had been placed in the close proximity of the bed for the residents use, which was under the bed's edge at the time of bed lowering. The garbage can was located between the pivot point of the head deck and head end of the bed. The resident simultaneously lowered the bed and raised the head deck of the bed. The bed was lowered onto the garbage can and the resident noticed the bed was not lowering properly but continued to lower. The bed was kept from lowering properly at the head end by the garbage can. While the resident was sitting and lowering the bed, her legs were tucked in under the bed. The garbage can suddenly popped out from under the bed, the bed dropped and her calf was partially sheared off her leg. The resident had surgery and is recovering.
Patient Sequence No: 1, Text Type: D, B5


[11768092] After a review of our post production risk mgmt, this is the first incident of this nature and considered isolated with a likelihood of occurrence being improbable. Our risk analysis was reviewed and proper warnings are covered in the owner's manual. No corrective action(s) required.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1041130-2014-00001
MDR Report Key3763385
Report Source05,06
Date Received2014-04-07
Date of Report2014-04-07
Date of Event2014-03-12
Date Mfgr Received2014-03-13
Date Added to Maude2014-04-25
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer Street4658 ONTARIO ST
Manufacturer CityBEAMSVILLE L0R 1B4
Manufacturer CountryCA
Manufacturer PostalL0R 1B4
Manufacturer Phone8646786936
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameREXX
Generic NameQD2000
Product CodeBRT
Date Received2014-04-07
Model NumberQD2000
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerM. C. HEALTHCARE PRODUCTS (A DIVISION OF SPAN MEDICAL PRODUCTS)
Manufacturer Address4658 ONTARIO ST BEAMSVILLE L0R1B4 CA L0R 1B4


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2014-04-07

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