FDA Adverse Event
Injury
Summary report: N
ARCORAIL SYSTEM FOR HOME USE
MDR report key: 68017
·
Received February 12, 1997
Report
- Report Number
- 2242298-1997-09001
- Event Type
- Injury
- Date Received
- February 12, 1997
- Date of Event
- November 2, 1996
- Report Date
- February 11, 1997
- Manufacturer
- LCM DISTRIBUTION SYSTEM
- Product Code
- FNL
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- IL, US
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
THE PROUDCT WAS PURCHASED IN 1/96. THE USER OF THE PRODUCT, HAD CANCER AND WAS BEDRIDDEN. ALLEGEDLY ON 11/2, THE BEDRAIL BROKE AND THE USER FELL OUT OF BED AND BROKE HIS HIP. LATER THAT DAY THE USER DIED; NOT AS A RESULT OF THE FALL, BUT DUE TO CANCER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ARCORAIL SYSTEM FOR HOME USE | BED RAIL TO ASSIST WHEN GETTING IN/OUT | FNL | LCM DISTRIBUTION SYSTEM | GF6690-1 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Required Intervention |