FDA Adverse Event Death Summary report: N

JOERNS (HEALTHCARE INC.)

MDR report key: 512408 · Received February 9, 2004

Report

Report Number
512408
Event Type
Death
Date Received
February 9, 2004
Date of Event
January 14, 2004
Report Date
January 20, 2004
Manufacturer
SUNRISE MEDICAL
Product Code
FNJ
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
PA, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

RESIDENT WAS ASPHIXIATED BY A SIDERAIL ON THEIR BED. THEY WERE FOUND WITH THEIR HEAD CAUGHT BETWEEN THE MIDDLE AND LOWER RUNG OF A HALF SIDE-RAIL. THEIR FEET WERE ON THE FLOOR. THEY HAD BEEN POSITIONED IN THE BED ON THEIR LEFT SIDE AND HAD BEEN OBSERVED TO BE SLEEPING APPROX. 45 MINUTES PRIOR TO WHEN THEY WERE FOUND. THEY HAD AN AIR MATTRESS ON THEIR BED. IT APPEARED THAT THEY TURNED OVER AND FELL FROM THE BED GETTING THEIR HEAD CAUGHT IN THE SIDE RAIL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 JOERNS (HEALTHCARE INC.) BED HALF-LENGTH SIDERAIL FNJ SUNRISE MEDICAL B40, B41, B50 *
2 JOERNS (HEALTHCARE INC.) BED HALF-LENGTH SIDERAIL FNJ SUNRISE MEDICAL B40, B41, B50 *

Patients

Seq Age Sex Outcome Treatment
1 86 YR Death