FDA Adverse Event Injury Summary report: N

N.O.A 11/2003

MDR report key: 638451 · Received September 21, 2005

Report

Report Number
638451
Event Type
Injury
Date Received
September 21, 2005
Date of Event
August 30, 2005
Report Date
September 6, 2005
Manufacturer
*
Product Code
FNL
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

RESIDENT FELL AND AMPUTATED RIGHT 4TH DIGIT AS A RESULT OF THEIR RING BEING CAUGHT ON THE TOP OF THE HEIGHT EXTENSION BAR THT ATTACHES THE FOOT BOARD TO THE BED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 N.O.A 11/2003 BED = ELECTRIC FNL * * *

Patients

Seq Age Sex Outcome Treatment
1 91 YR Hospitalization