BEUDAMED
    FDA Adverse Event Death Summary report: N

    NURSE CALL CORD

    MDR report key: 10741 · Received January 4, 1994

    Report

    Report Number
    MW1000269
    Event Type
    Death
    Date Received
    January 4, 1994
    Date of Event
    November 16, 1993
    Report Date
    December 16, 1993
    Manufacturer
    EXECUTONE INFORMATION SVCS
    Product Code
    ILQ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT ADMITTED TO PSYCHIATRY UNIT WITH DIAGNOSIS OF ACUTE PSYCHOSIS. DURING THE FIRST FOUR DAYS OF HOSPITALIZATION, THE PT CONSISTENTLY DENIED SUICIDAL IDEATION. WHEN THE RN ARRIVED IN THE PT'S ROOM ON MORNING #5, TO CHECK THE PT'S VITAL SIGNS, SHE FOUND HIM SLUMPED OVER, ON THE FLOOR. THE RN CALL CORD WAS WOUND AROUND HIS NECK THREE TIMES AND LOOPED CLOSED. RESUSCITATION WAS UNSUCCESSFUL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NURSE CALL CORD ILQ EXECUTONE INFORMATION SVCS FUTURA HPNWP1S/W43

    Patients

    Seq Age Sex Outcome Treatment
    1 1 MO Death