FDA Adverse Event
Death
Summary report: N
INVACARE BED AND QUARTER LENGTH SIDE RAILS HEAD ONLY
MDR report key: 18579102
·
Received January 25, 2024
Report
- Report Number
- 18579102
- Event Type
- Death
- Date Received
- January 25, 2024
- Date of Event
- September 28, 2023
- Report Date
- January 22, 2024
- Manufacturer
- INVACARE CORPORATION
- Product Code
- FNL
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- SC, US
- Reporter Occupation
- OTHER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
DURING ROUTINE ROUNDS, CNA STATES THAT SHE ENTERED RESIDENT'S ROOM AND OBSERVED RESIDENT ENTANGLED IN QUARTER LENGTH SIDE RAIL AT THE HEAD OF THE BED. CNA NOTIFIED NURSE IMMEDIATELY. NURSE RESPONDED AND OBSERVED RESIDENT UNRESPONSIVE AND ENTANGLED IN THE QUARTER LENGTH SIDE RAIL. EMS CALLED IMMEDIATELY. EMS AT FACILITY UNABLE TO REVIVE RESIDENT. CORONER NOTIFIED PER EMS. ASSISTANT CORONER AND DEPUTY CHIEF CORONER RESPONDED. CAUSE OF DEATH ASPHYXIATION. TO OUR KNOWLEDGE THE BED NOR SIDE RAILS WERE FAULTY. ALL SIDE RAILS REMOVED FROM ALL FACILITY BEDS DUE TO ENTRAPMENT RISKS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1190554 | INVACARE BED AND QUARTER LENGTH SIDE RAILS HEAD ONLY | BED, AC-POWERED ADJUSTABLE HOSPITAL | FNL | INVACARE CORPORATION | IHCS7 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 69 YR | Female | Death | DRIVE MODEL NO 14030 LOW AIR LOSS MATTRESS |