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Adverse Event Report

BASIC AMERICAN METAL PRODUCTS BED   back to search results
Patient Outcome  Hospitalization;
Event Description

Pt found on floor on right side with laceration to head. Siderail separated under bed frame.

 
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Brand NameBED
Type of DeviceBED
Baseline Device 510(K) Number
Baseline Device PMA Number
Manufacturer (Section D)
BASIC AMERICAN METAL PRODUCTS
fond du lac WI 54936
Device Event Key21660
MDR Report Key21618
Event Key19923
Report NumberMW1005791
Device Sequence Number1
Product CodeFNL
Report Source Voluntary
Report Date 04/07/1995
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received05/02/1995
Is This An Adverse Event Report? Yes
Is This A Product Problem Report? Yes
Device Operator Lay User/Patient
OTHER Device ID NumberPB08423
Was Device Available For Evaluation? Yes
Is the Device an Implant? No
Is this an Explanted Device?

Database last updated on January 30, 2009

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