FDA Adverse Event Death Summary report: N

CENTURY BED

MDR report key: 1616603 · Received February 18, 2010

Report

Report Number
1824206-2010-02665
Event Type
Death
Date Received
February 18, 2010
Date of Event
January 17, 2010
Report Date
January 21, 2010
Manufacturer
HILL-ROM RITTER
Product Code
FNL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE ACCOUNT DIRECTOR OF MAINTENANCE WAS TOLD THE BED EXIT ALARM WAS SET AND THE PATIENT WAS ABLE TO GET OUT OF BED, WALK OUT OF THE FACILITY, AND WAS FOUND DECEASED NEAR AN OUT BUILDING. MAINTENANCE TESTED THE BED EXIT SYSTEM RIGHT AFTER THE INCIDENT, AND IT WAS WORKING PROPERLY. THE HILL-ROM TECHNICIAN INVESTIGATED, TESTED THE BED EXIT ALARM, AND IT IS FUNCTIONING AS DESIGNED. WHEN THE ALARM IS ACTIVATED, IT SENDS A REGULAR NURSE CALL WITH NO PRIORITY, AS THE ACCOUNT ONLY HAS A 1/4" PHONO STYLE COMMUNICATION CABLE. THE MATTRESS IS A HILL-ROM SURFACE AND IS IN GOOD WORKING ORDER.

Description of Event or Problem · 1

ALLEGED ON THE MORNING OF (B) (6) 2010, A PATIENT EXITED THE BED, LEFT THE HOSPITAL AND ENDED UP PASSING AWAY. THE ACCOUNT ALLEGED THAT THE BED EXIT SYSTEM WAS TURNED ON.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CENTURY BED AC POWERED HOSPITAL BED FNL HILL-ROM RITTER 1400

Patients

Seq Age Sex Outcome Treatment
1 Death