FDA Adverse Event Death Summary report: N

HILL-ROM, RESIDENT MODEL BED

MDR report key: 1418501 · Received July 17, 2009

Report

Report Number
MW5012014
Event Type
Death
Date Received
July 17, 2009
Date of Event
July 10, 2009
Report Date
July 17, 2009
Manufacturer
HILL-ROM
Product Code
FNL
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
MN, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

FOUND RESIDENT BODY -EXPIRED- ALONG SIDE THE BED WITH KNEES ON THE FLOOR, FOREHEAD BETWEEN THE SIDE RAIL AND MATTRESS. CORONER CALLED AND VULNERABLE ADULT REPORT FILED. PER CORONER, THE CAUSE OF DEATH WAS ACCIDENTAL POSITIONAL ASPHYXIA. BED WAS A HILL-ROM, RESIDENT. BED HAD 1/4 LENGTH SIDE RAILS. THE MEASUREMENTS OF THE BED, RAIL, AND MATTRESS MET THE FEDERAL REQUIREMENTS FOR STYLE, ARTICULATION, MATTRESS SIZE, AND SPACING BETWEEN MATTRESS AND RAIL- 2FL ON RIGHT, 4FL ON LEFT. HILL-ROM HAS ALSO BEEN NOTIFIED. DATES OF USE: 2002 TO PRESENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HILL-ROM, RESIDENT MODEL BED BED FNL HILL-ROM RESIDENT

Patients

Seq Age Sex Outcome Treatment
1 95 YR Death