BEUDAMED
    FDA Adverse Event Death Summary report: N

    UNK

    MDR report key: 239345 · Received September 8, 1999

    Report

    Report Number
    239345
    Event Type
    Death
    Date Received
    September 8, 1999
    Date of Event
    August 24, 1999
    Report Date
    September 3, 1999
    Manufacturer
    SMITH & DAVIS MANUFACTURING CO.
    Product Code
    FNJ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NJ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    UPON INFO RECEIVED, A RESIDENT WAS FOUND UNRESPONSIVE ON THE FLOOR NEXT TO HER BED WITH HER HEAD BETWEEN THE BED FRAME AND SIDERAIL AT THE HEAD END OF LEFT SIDE OF THE BED. THE RESIDENT WAS DISLODGED AND CPR AND EMERGENCY TREATMENT WERE ADMINISTERED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK BED WITH SIDERAILS ATTACHED FNJ SMITH & DAVIS MANUFACTURING CO. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR Death