BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VAIL BED

    MDR report key: 589636 · Received March 30, 2005

    Report

    Report Number
    MW1035153
    Event Type
    Injury
    Date Received
    March 30, 2005
    Date of Event
    March 2, 2004
    Report Date
    March 30, 2005
    Manufacturer
    VAIL BEDS
    Product Code
    FMS
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    PT SLID DOWN BETWEEN THE RAIL AND MATTRESS LAYING SIDEWAYS THE FIRST TIME. THE SECOND TIME TO THE 14TH TIME PT GETS THEIR HEAD STUCK ONLY BETWEEN THE RAIL AND MATTRESS BY LAYING FROM SIDE TO SIDE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VAIL BED 1000 FMS VAIL BEDS VAIL BED 1000 *

    Patients

    Seq Age Sex Outcome Treatment
    1 30 MO Life Threatening