BEUDAMED
    FDA Adverse Event Death Summary report: N

    SHUR LOK BED RAIL

    MDR report key: 156342 · Received March 13, 1998

    Report

    Report Number
    156342
    Event Type
    Death
    Date Received
    March 13, 1998
    Date of Event
    March 2, 1998
    Report Date
    March 12, 1998
    Manufacturer
    BASIC AMERICAN METAL PRODUCTS
    Product Code
    FNJ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ON MARCH 2, 1998, AT APPROXIMATELY 0710, A CERTIFIED NURSING ASSISTANT ENTERED THE ROOM AND FOUND THE RESIDENT LAYING IN HIS BED ON HIS RIGHT SIDE. HIS HEAD AND NECK WERE THROUGH THE SIDE RAIL AND HIS LEFT SHOULDER WAS RESTING AGAINST THE SIDE RAIL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SHUR LOK BED RAIL SIDE RAIL FOR SHUR LOK BED FNJ BASIC AMERICAN METAL PRODUCTS 999-0487-901 NA
    2 SHUR LOK BED BED FRAME FNJ BASIC AMERICAN METAL PRODUCTS NA NA
    3 ORTHODERM CONERTIBLE OVERLAY AIR MATTRESS FNM HEALTH CARE PRODUCTS 0C-1 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Death