BEUDAMED
    FDA Adverse Event Death Summary report: N

    TOTALCARE

    MDR report key: 1324084 · Received February 23, 2009

    Report

    Report Number
    1824206-2009-00859
    Event Type
    Death
    Date Received
    February 23, 2009
    Date of Event
    January 26, 2009
    Report Date
    January 26, 2009
    Manufacturer
    HILL-ROM RITTER
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE FACILITY STATED THE PATIENT WAS ADMITTED. THE PATIENT HAD A PULMONARY EMBOLI AND WAS DOSED WITH THE MEDICATION 'LOVENOX'. THE DOCTOR CAME IN THE NEXT MORNING AND QUESTIONED THE WEIGHT OF THE PATIENT, STATING THAT THE PATIENT LOOKED HEAVIER. THE PATIENT WAS MOVED ONTO A FLOOR SCALE. THE BED SCALE WAS ZEROED AND THE PATIENT WAS PLACED BACK INTO BED WHERE THE SCALE WEIGHED THE PATIENT. THE PATIENT EXPIRED THAT AFTERNOON. THE FACILITY STATED THEY ARE TRYING TO DETERMINE IF THE SCALE WAS ZEROED BETWEEN PATIENTS, SINCE HIS ADMITTING WEIGHT WAS INITIALLY NOT CORRECT. THE HILL-ROM TECHNICIAN INSPECTED THE BED SCALE USING ONE HUNDRED POUNDS OF WEIGHT, AND FOUND THE SCALE TO BE OPERATING AND WEIGHING PROPERLY.

    Description of Event or Problem · 1

    ALLEGED THE SCALE MAY BE WEIGHING OFF AND THAT A PATIENT DIED AFTER THE STAFF GAVE THE PATIENT AN INCORRECT DOSE OF A MEDICATION ACCORDING TO THE SCALE READING. THE CALLER WAS NOT SURE THE DEATH WAS A RESULT OF THE SCALE BEING INACCURATE OR THE STAFF NOT KNOWING HOW TO USE THE SCALE. THE BED IS LOCATED IN THE ICU.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TOTALCARE AC POWERED HOSPITAL BED FNL HILL-ROM RITTER 1900

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Death