BEUDAMED
    FDA Adverse Event Death Summary report: N

    INVACARE

    MDR report key: 1711644 · Received June 9, 2010

    Report

    Report Number
    MW5016196
    Event Type
    Death
    Date Received
    June 9, 2010
    Date of Event
    July 13, 2008
    Report Date
    June 1, 2010
    Manufacturer
    INVACARE
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE CHILD, (B) (6), STRANGLED TO DEATH ON A BED RAIL AT HIS HOME IN (B) (6). COPIES OF RELEVANT DOCUMENTS INCLUDING THE AUTOPSY REPORT, DEATH CERTIFICATE, PHOTOGRAPHS OF THE SCENE AND BED RAIL, SHERIFF'S REPORT AND EMT RUN REPORT, 01/19/08 REDACTED DISCHARGE SUMMARY FOR SCOLIOSIS OPERATION, AND RECEIPT FOR THE BED FOLLOW UNDER SEPARATE COVER BY REGULAR MAIL. WE ALSO WILL ATTACH A COPY OF THE SUMMONS AND COMPLAINT FILED IN THE STATE COURT LITIGATION FOR (B) (6) DEATH ON (B) (6) 2010. DATES OF USE: (B) (6) 2008 - (B) (6) 2008. DIAGNOSIS OR REASON FOR USE: SCOLIOSIS OPERATION AND FOLLOWUP.

    Description of Event or Problem · 1

    THE CHILD (B) (6) STRANGLED TO DEATH ON A BED RAIL AT HIS HOME IN (B) (6), (B) (6). COPIES OF RELEVANT DOCUMENTS INCLUDING THE AUTOPSY REPORT, DEATH CERTIFICATE, PHOTOGRAPHS OF THE SCENE AND BED RAIL, SHERIFF'S REPORT AND EMT RUN REPORT, 1/19/08 REDACTED DISCHARGE SUMMARY FOR SCOLIOSIS OPERATION, AND RECEIPT FOR THE BED FOLLOW UNDER SEPARATE COVER BY REGULAR MAIL. WE ALSO WILL ATTACH A COPY OF THE SUMMONS AND COMPLAINT FILED IN THE STATE COURT LITIGATION FOR (B) (6) DEATH ON (B) (6) 2010. DATES OF USE: (B) (6) 2008. (B) (6) 2008. DIAGNOSIS OR REASON FOR USE: SCOLIOSIS OPERATION AND FOLLOW-UP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INVACARE BED RAIL FNL INVACARE 6629,5308A

    Patients

    Seq Age Sex Outcome Treatment
    1 11 YR Death