BEUDAMED
    FDA Adverse Event Death Summary report: N

    JOERNS

    MDR report key: 133361 · Received November 17, 1997

    Report

    Report Number
    MW1012486
    Event Type
    Death
    Date Received
    November 17, 1997
    Date of Event
    November 10, 1997
    Report Date
    November 17, 1997
    Manufacturer
    SUNRISE MEDICAL CCG, INC.
    Product Code
    FNJ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NE, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RESIDENT SLIPPED BETWEEN THE BOTTOM OF THE SIDE RAIL AND THE FRAME WHICH HOLDS THE MATTRESS ON THE LEFT SIDE OF THE BED. SHE WAS FOUND IN A SITTING POSITION BESIDE THE BED WITH HER HEAD CAUGHT BETWEEN THE BOTTOM OF THE SIDE RAIL AND THE FRAME WHICH HOLDS THE MATTRESS. HER CHIN WAS RESTING ON THE BOTTOM RUNG OF THE SIDE RAIL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 JOERNS BED AND BED SIDE RAIL FNJ SUNRISE MEDICAL CCG, INC. B-702 *

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Death