FDA Adverse Event Death Summary report: N

SPLIT SIDERAILS

MDR report key: 127218 · Received October 14, 1997

Report

Report Number
2182305-1997-00013
Event Type
Death
Date Received
October 14, 1997
Date of Event
July 30, 1997
Report Date
September 8, 1997
Manufacturer
SUNRISE MEDICAL CCG, INC.
Product Code
FNJ
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT TOTAL CARE PT, POSEY SIDE RAIL PADS, WAS FOUND HANGING ON SIDERAIL OF BED. PT'S CHIN NECK AREA WAS CAUGHT ON BED FRAME BETWEEN SPLIT RAILS. DEATH BY ACCIDENTAL ASPHYXIATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SPLIT SIDERAILS SIDERAILS FNJ SUNRISE MEDICAL CCG, INC. F1441 SERIES NA

Patients

Seq Age Sex Outcome Treatment
1 91 YR Death