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 |