FDA Adverse Event Death Summary report: N

SIMMONS BED WITH ARCORAILS

MDR report key: 432412 · Received December 12, 2002

Report

Report Number
2428983-2002-00002
Event Type
Death
Date Received
December 12, 2002
Date of Event
December 6, 2002
Report Date
December 11, 2002
Manufacturer
LCM DISTRIBUTION SYSTEM
Product Code
FNJ
Report Source
Distributor report
Reporter Location
FL, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

FACILITY ALLEGEDLY FOUND PATIENT ENTRAPPED IN BED RAILS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SIMMONS BED WITH ARCORAILS BED RAILS FNJ LCM DISTRIBUTION SYSTEM UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 87 YR Death