BEUDAMED
    FDA Adverse Event Death Summary report: N

    *

    MDR report key: 520804 · Received January 13, 2004

    Report

    Report Number
    520804
    Event Type
    Death
    Date Received
    January 13, 2004
    Date of Event
    December 29, 2003
    Report Date
    December 29, 2003
    Manufacturer
    MCKESSON-REDLINE
    Product Code
    FNJ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    KS, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE RESIDENT GOT THEIR HEAD CAUGHT IN A SIDE RAIL AND FELL OUT OF BED. DEATH BY ASPHYXIATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * BED RAIL FNJ MCKESSON-REDLINE 6083-50-09 *

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Death