FDA Adverse Event
Death
Summary report: N
SECURE ALL ONE PIECE BODY HOLDER
MDR report key: 122904
·
Received September 26, 1997
Report
- Report Number
- 1625443-1997-00007
- Event Type
- Death
- Date Received
- September 26, 1997
- Report Date
- August 27, 1997
- Manufacturer
- TECNOL MEDICAL PRODUCTS, INC.
- Product Code
- FMQ
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
PT WITH RESTRAINT APPLIED WAS FOUND HANGING OVER SIDE OF BED. CORONER REPORTED CAUSE OF DEATH TO BE CORONARY FAILURE. ALL HOSPITAL STANDARDS HAD BEEN FOLLOWED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SECURE ALL ONE PIECE BODY HOLDER | PROTECTIVE RESTRAINT | FMQ | TECNOL MEDICAL PRODUCTS, INC. | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Death |