FDA Adverse Event Death Summary report: N

JOERNS

MDR report key: 94689 · Received May 27, 1997

Report

Report Number
94689
Event Type
Death
Date Received
May 27, 1997
Date of Event
May 24, 1997
Report Date
May 27, 1997
Manufacturer
JOERNS HEALTHCARE
Product Code
FNL
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
OH, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

RESIDENT WAS FOUND WITH BUTTOCKS RESTING ON FLOOR. ARMS AT SIDES. NECK BETWEEN SIDE RAIL AND BED FRAME/MATTRESS. CHIN RESTING ON BOTTOM PORTION OF SIDERAIL, WHICH WAS IN THE RAISED POSITION. RESIDENT'S BACK WAS AGAINST THE BED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 JOERNS HALF SIDE RAIL DELUXE FNL JOERNS HEALTHCARE F1401 *

Patients

Seq Age Sex Outcome Treatment
1 84 YR Death