FCEALTMAXX

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-08-15 for FCEALTMAXX manufactured by Medline Industries Inc..

Event Text Entries

[117256167] It was reported that while the patient was using his electric/power scooter, he ran into the bed frame. Reportedly, the patient, who takes blood thinners, caught his right leg into the metals on the side of the bed frame sustaining laceration to his right leg. The patient went to the emergency room twice and received a total of 32 stitches to his right leg to close the laceration. The reporting facility stated that they have not identified any issue with regards to the design or manufacture of the bed. Due to the reported medical intervention and in an abundance of caution, this medwatch is being filed. The sample is not available to be returned for evaluation. There is no information to suggest that the bed frame caused or could have contributed to the event. No additional information is available. If additional information becomes available, a supplemental medwatch will be filed.
Patient Sequence No: 1, Text Type: N, H10


[117256168] It was reported that a patient using a power scooter ran into the bed frame sustaining laceration that required stitches.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1417592-2018-00091
MDR Report Key7786838
Date Received2018-08-15
Date of Report2018-08-15
Date of Event2018-08-09
Date Mfgr Received2018-08-14
Date Added to Maude2018-08-15
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 FDA3
Event Location3
Manufacturer ContactBERMON PUNZALAN
Manufacturer StreetTHREE LAKES DRIVE
Manufacturer CityNORTHFIELD IL 60093
Manufacturer CountryUS
Manufacturer Postal60093
Manufacturer Phone2249311514
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Generic NameALTERRA MAXX UNIVERSAL BED
Product CodeOSI
Date Received2018-08-15
Catalog NumberFCEALTMAXX
Lot NumberUNK
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES INC.
Manufacturer AddressTHREE LAKES DRIVE NORTHFIELD IL 60093 US 60093


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2018-08-15

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