BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BED-CHECK

    MDR report key: 507703 · Received January 15, 2004

    Report

    Report Number
    507703
    Event Type
    Injury
    Date Received
    January 15, 2004
    Date of Event
    December 28, 2003
    Report Date
    December 30, 2003
    Manufacturer
    BED-CHECK CORP.
    Product Code
    KMI
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT FOUND ON FLOOR, PT FELL ON THEIR LEFT HIP WHICH WAS NOW HURTING. BEDCHECK WAS IN PLACE. BUT DID NOT ALARM AT TIME OF FALL. X-RAY SHOWED IMPACTED SUBCOPITAL LEFT FEMORAL NECK FRACTURE. PT HAD PROCEDURE TO REPAIR FRACTURE 12/2003.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BED-CHECK BED EXIT ALARM KMI BED-CHECK CORP. 100085-101 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 89 YR Required Intervention