BEUDAMED
    FDA Adverse Event Death Summary report: N

    CARROLL ARRO SERVICE BED

    MDR report key: 1746902 · Received February 5, 2010

    Report

    Report Number
    1746902
    Event Type
    Death
    Date Received
    February 5, 2010
    Date of Event
    January 27, 2010
    Report Date
    February 4, 2010
    Manufacturer
    INVACARE
    Product Code
    FNL
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NV, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    ON (B)(6) 2010 AT 00:15 RESIDENT (B)(6) WAS FOUND WITH HIS LOWER BODY, LEFT ARM, AND LEFT SHOULDER OFF THE BED WHILE HIS RIGHT SHOULDER AND RIGHT ARM REMAINED ON THE BED WITH HIS HEAD AND NECK RESTING ON THE SIDE RAIL. THE SIDE RAIL WAS IN "ENABLER" POSITION. RESIDENT (B)(6) WAS REMOVED FROM POSITION TO THE FLOOR AND PLACED IN BED. HE WAS SUCTIONED AND O2 PLACED ON RESIDENT. EMTS WERE NOTIFIED AND RESIDENT WAS TRANSFERRED TO (B)(6) HOSPITAL. ACCORDING TO HIS DAUGHTER, RESIDENT EXPIRED AT 23:00 ON (B)(6) 2010 AT (B)(6) HOSPITAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CARROLL ARRO SERVICE BED ELECTRIC BED FNL INVACARE ARRO 1IPX4

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Death