FDA Adverse Event Other Summary report: N

ADVANTA

MDR report key: 555883 · Received January 12, 2004

Report

Report Number
555883
Event Type
Other
Date Received
January 12, 2004
Date of Event
October 31, 2003
Report Date
December 9, 2003
Manufacturer
HILL-ROM COMPANY, INC
Product Code
FNJ
Report Source
User Facility report
Reporter Location
MD, US

Narratives

Description of Event or Problem · 1

A PATIENT CLIMBED OVER THE RAISED SIDERAILS OF THE BED AND FRACTURED RIGHT ELBOW AS A RESULT OF THE FALL. AT THE TIME OF THE INCIDENT, ALL FOUR SIDERAILS WERE RAISED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADVANTA BED, HYDRAULIC, ADJUSTABLE HOSPITAL FNJ HILL-ROM COMPANY, INC * *

Patients

Seq Age Sex Outcome Treatment
1 78 YR