BEUDAMED
    FDA Adverse Event Other Summary report: N

    NA

    MDR report key: 110229 · Received July 9, 1997

    Report

    Report Number
    110229
    Event Type
    Other
    Date Received
    July 9, 1997
    Date of Event
    March 13, 1997
    Report Date
    April 16, 1997
    Manufacturer
    HARD MFG CO., INC.
    Product Code
    FNJ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CT, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE RESIDENT WAS BEING REPOSITIONED FOR PERSONAL CARE, TURNED ON HER SIDE. SHE WAS ACCUSTOMED TO HOLDING ON TO THE SIDERAIL FOR SUPPORT DURING THIS ACTIVITY. ON THIS DATE THE SIDERAIL WAS INEXPLICABLY LOWERED, CAUSING THE RESIDENT LOSS OF SUPPORT RESULTING IN HER FALL TO THE FLOOR FROM A HEIGHT OF APPROX. 30 INCHES AND CAUSING A FRACTURED LEFT HIP AND FRACTURED PELVIS. THE RESIDENT WAS EVALUATED AT A LOCAL HOSPITAL E.D. AND RETURNED TO THIS FACILITY FOR ON-GOING CARE. SHE HAD NO POTENTIAL FOR AMBULATION PRIOR TO THE EVENT; THEREFORE TREATMENT/REHAB IN THIS DIRECTION WAS NOT CONSIDERED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NA SIDE RAIL - BED; FULL LENGTH FNJ HARD MFG CO., INC. 3089 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Other