FDA Adverse Event Death Summary report: N

INVACARE

MDR report key: 369005 · Received December 28, 2001

Report

Report Number
369005
Event Type
Death
Date Received
December 28, 2001
Date of Event
December 12, 2001
Report Date
December 26, 2001
Manufacturer
INVACARE CORPORATION
Product Code
FNJ
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE RESIDENT WAS FOUND UNRESPONSIVE, HANGING OUT OF BED WITH RESIDENT'S HEAD THROUGH THE SIDERAILS, BY STAFF ON REGULAR ROUNDS. RESIDENT APPARENTLY TRIED TO GET OUT OF BED UNASSISTED AND GOT HEAD CAUGHT BETWEEN THE SIDERAIL BARS, RESULTING IN DEATH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
58775 INVACARE SIDERAILS FNJ INVACARE CORPORATION UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 80 YR Death