BEUDAMED
    FDA Adverse Event Death Summary report: N

    BED-BAR

    MDR report key: 162953 · Received April 15, 1998

    Report

    Report Number
    162953
    Event Type
    Death
    Date Received
    April 15, 1998
    Date of Event
    April 7, 1998
    Report Date
    April 7, 1998
    Manufacturer
    BROWN ENGINEERING CORP.
    Product Code
    FNJ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ON 4/7/1998 AT APPROXIMATELY 3:00 AM, THE RESIDENT WAS DISCOVERED BY FACILITY PERSONNEL UNRESPONSIVE, WITHOUT VITAL SIGNS, FALLEN OUT OF BED, NECK ENTRAPPED BETWEEN BED-BAR AND MATTRESS, RESULTING IN: CAUSE OF DEATH BY MEDICAL EXAMINER: STRANGULATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BED-BAR SUPPORT RAIL FNJ BROWN ENGINEERING CORP. 1200H *

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Death ALPHA X-CELL MATTRESS MODEL #ACA100.