FDA Adverse Event Death Summary report: N

POSEY

MDR report key: 14992 · Received May 14, 1994

Report

Report Number
14992
Event Type
Death
Date Received
May 14, 1994
Date of Event
April 27, 1994
Report Date
May 3, 1994
Manufacturer
ZIMMER CO.
Product Code
FMQ
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
MS, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

RESIDENT WAS FOUND ON FLOOR BESIDE HIS BED WITH RESTRAINT ON AND TIGHT AROUND CHEST AND NECK. CORONER'S REPORT WAS NOT AVAILABLE TO FACILITY UNTIL 5/3/94. THE CAUSE OF DEATH WAS STRANGULATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 POSEY VEST RESTRAINT FMQ ZIMMER CO. 3353L

Patients

Seq Age Sex Outcome Treatment
1 68 YR Death