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 |