FDA Adverse Event Death Summary report: N

*

MDR report key: 328840 · Received April 24, 2001

Report

Report Number
328840
Event Type
Death
Date Received
April 24, 2001
Date of Event
April 18, 2001
Report Date
April 18, 2001
Manufacturer
LINTEX
Product Code
FMW
Product Problem
Yes
Report Source
User Facility report
Reporter Location
NE, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

RESIDENT FOUND ON FLOOR BESIDE BED WITH HEAD CAUGHT IN BETWEEN BED AND SIDERAILS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
18947 * MATTRESS FMW LINTEX MAXICARE-PRESSURE RELIEVING *
18948 JOERNS BED FNJ JOERNS HEALTHCARE, INC. B40 10286 *
18949 140 SERIES HALF LENGTH SIDERAIL FNJ SUNRISE MEDICAL 140 SERIES *

Patients

Seq Age Sex Outcome Treatment
1 88 YR Death