BEUDAMED
    FDA Adverse Event Death Summary report: N

    SIDE RAIL HALF LENGTH

    MDR report key: 54012 · Received December 4, 1996

    Report

    Report Number
    54012
    Event Type
    Death
    Date Received
    December 4, 1996
    Date of Event
    November 23, 1996
    Report Date
    December 2, 1996
    Manufacturer
    PCP-CHAMPION
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    NE, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RESIDENT ROLLED OFF BED, LODGING HEAD BETWEEN SIDERAIL AND MATTRESS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIDE RAIL HALF LENGTH HALF-LENGTH BED SIDERAIL FNL PCP-CHAMPION 6083 *

    Patients

    Seq Age Sex Outcome Treatment
    1 94 YR Death