FDA Adverse Event Other Summary report: N

SIDE RAILS

MDR report key: 263357 · Received February 11, 2000

Report

Report Number
2182305-2000-00003
Event Type
Other
Date Received
February 11, 2000
Date of Event
January 3, 2000
Report Date
January 18, 2000
Manufacturer
SUNRISE MEDICAL CCG
Product Code
FNJ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

RESIDENT FELL ON AN OLD STYLE BED RAIL BRACKET WHICH PUNCTURED THE SKIN UNDER THE RIGHT ARM AND EXITED, LEAVING THE SIDE PIERCED. RESIDENT TRANSFERRED TO HOSPITAL. RESIDENT WAS RETURNING TO BED FROM THE BATHROOM AND FORGOT TO USE THE WALKER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SIDE RAILS SAFETY SIDE RAILS FNJ SUNRISE MEDICAL CCG F190 NA

Patients

Seq Age Sex Outcome Treatment
1 80 YR Hospitalization