FDA Adverse Event Injury Summary report: N

BED BAR

MDR report key: 3112278 · Received August 28, 2006

Report

Report Number
3112278
Event Type
Injury
Date Received
August 28, 2006
Date of Event
August 19, 2006
Report Date
August 24, 2006
Manufacturer
BROWN ENGINEERING
Product Code
FNJ
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
WA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

RESIDENT HAD ALMOST FALLEN OUT OF BED. HEAD/NECK WAS CAUGHT ON BED BAR. RESIDENT UNABLE TO REMOVE SELF. STAFF ARRIVED TO ASSIST RESIDENT. SEE SCANNED PAGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BED BAR BED BAR FNJ BROWN ENGINEERING 1200 IJ

Patients

Seq Age Sex Outcome Treatment
1 96 YR Hospitalization| R