FDA Adverse Event
Death
Summary report: N
POSEY BED ALL-IN-ONE SYSTEM
MDR report key: 1899966
·
Received November 10, 2010
Report
- Report Number
- 2020362-2010-00351
- Event Type
- Death
- Date Received
- November 10, 2010
- Date of Event
- October 21, 2010
- Report Date
- October 21, 2010
- Manufacturer
- POSEY, S. DE R. L. DE C. V.
- Product Code
- FNL
- PMA / PMN Number
- EXEMPT
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4). PRODUCT WAS REQUESTED TO BE RETURNED FOR EVAL AND HAS NOT BEEN REC'D. THERE WAS NO PRODUCT PROBLEM RELATED TO THE PT EVENT REPORTED. MFR REFERENCES FILE (B)(4).
Description of Event or Problem · 1
CUSTOMER REPORTED THAT A CODE BLUE OCCURRED WHILE A PT WAS IN THE PRODUCT BED MODEL 8070. THE NURSING STAFF ATTEMPTED TO REACH THE PT IN ORDER TO ADMINISTER CPR, BUT THE PT PASSED AWAY. THERE WAS NO PRODUCT BED DAMAGE RELATED TO THIS EVENT REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | POSEY BED ALL-IN-ONE SYSTEM | FNL | POSEY, S. DE R. L. DE C. V. | 8070 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 90 YR | Death |