LUMEX

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1994-04-12 for LUMEX manufactured by Lumex, Inc..

Event Text Entries

[17512497] Per report from user facility administrator:patient discovered by nursing aide at 0010 monday. Patient lying with feet out of bed, buttock on floor, head was between bottom of side rail and mattress. Patient facing up. Patient strangled on underside of bed rail.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number32574-1994-00004
MDR Report Key13622
Date Received1994-04-12
Date of Report1994-02-22
Date of Event1994-02-21
Date Facility Aware1994-02-21
Report Date1994-02-22
Date Reported to FDA1994-02-22
Date Reported to Mfgr1994-02-22
Date Added to Maude1994-05-31
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameLUMEX
Generic NameTELESCOPING SIDE RAIL
Product CodeFNK
Date Received1994-04-12
ID Number5087-50-00 (RED LINE CAT. #)
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Age*
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key13620
ManufacturerLUMEX, INC.
Manufacturer Address100 SPENCE STREET BAY SHORE NY 11706 US


Patients

Patient NumberTreatmentOutcomeDate
101. Death 1994-04-12

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