INVACARE BAR5490IVC

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-03-28 for INVACARE BAR5490IVC manufactured by Invacare.

Event Text Entries

[73492948] While receiving personal care the patient was turned on her side while pulling on the upper half side rail to assist. The lower half side rail was down. As she was turning the air mattress deflated so that the patient? S lower extremities slid out of the bottom side of the bed on the floor. The aide went to help the patient and helped her to slowly slide on to the floor; and went for help. She was transported to the hospital where she underwent examination and it was determined that she had bilateral fractures of the femur. She revoked the hospice benefit to receive aggressive therapy. When it was determined that she was not a candidate for surgery she was readmitted to the hospice benefit and transferred to the hospice inpatient unit. She died after being at the unit for three days.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6512571
MDR Report Key6512571
Date Received2017-03-28
Date of Report2017-03-28
Date of Event2017-03-19
Date Facility Aware2017-03-19
Report Date2017-03-28
Date Reported to FDA2017-03-28
Date Reported to Mfgr2017-03-28
Date Added to Maude2017-04-21
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameINVACARE
Generic NameBARIATRIC HOSPITAL BED
Product CodeOSI
Date Received2017-03-28
Model NumberBAR5490IVC
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Age7 YR
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerINVACARE


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2017-03-28

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