FDA Adverse Event Other Summary report: N

MRAIL

MDR report key: 391567 · Received April 29, 2002

Report

Report Number
MW1024847
Event Type
Other
Date Received
April 29, 2002
Date of Event
April 25, 2002
Report Date
April 29, 2002
Manufacturer
ALIMED
Product Code
FNJ
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
WA, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

ADD'L INFO REC'D 6/11/02: PLEASE NOTE THAT ALIMED IS NOT THE MFR OF THE M RAIL, ASSISTIVE BED RAIL. THEY PURCHASED THAT PRODUCT FROM: LCM DISTRIBUTION LTD. CO HAS FORWARDED THE PAPERWORK SENT TO LCM.

Description of Event or Problem · 1

RESIDENT WAS FOUND NOT BREATHING, LYING ON A MAT BESIDE THE BED. RESUSCITATIVE MEASURES WERE UNSUCCESSFUL. RESIDENT HAD A LOW BED WITH MAT ON THE FLOOR. THEY WERE FOUND ON LEFT SIDE WITH HEAD, FACE DOWN BETWEEN ASSISTIVE RAIL AND MATTRESS. DISTANCE FROM MAT TO BOTTOM OF RAIL WAS APPROX 11 INCHES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MRAIL ASSISTIVE BED RAIL FNJ ALIMED * *

Patients

Seq Age Sex Outcome Treatment
1 70 YR Other