FDA Adverse Event
Death
Summary report: N
DBD-BAR,BED ASSIST
MDR report key: 19609566
·
Received June 25, 2024
Report
- Report Number
- 1417592-2024-00685
- Event Type
- Death
- Date Received
- June 25, 2024
- Date of Event
- April 19, 2021
- Report Date
- June 25, 2024
- Manufacturer
- MEDLINE INDUSTRIES LP
- Product Code
- QTC
- Removal / Correction Number
- R-24-MED3
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
Additional Manufacturer Narrative · 0
ACCORDING TO THE CUSTOMER ON (B)(6) 2021 THE USER BECAME ENTRAPPED IN THE RAIL CAUSING "THE NECK TO BE COMPRESSED BETWEEN RAIL AND MATTRESS LEADING TO ASPHYXIATION". THE DEVICE IS NOT AVAILABLE FOR EVALUATION. NO ADDITIONAL INFORMATION IS AVAILABLE AT THIS TIME. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT CAUSED OR CONTRIBUTED TO SERIOUS INJURY/DEATH THEREFORE, THIS MEDWATCH IS BEING FILED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED OR OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED.
Additional Manufacturer Narrative · 0
UPDATED G6 TO 30 DAY AND UPDATED H2 TO CORRECTION.
Description of Event or Problem · 0
ACCORDING TO THE CUSTOMER ON (B)(6) 2021 THE USER BECAME ENTRAPPED IN THE RAIL CAUSING "THE NECK TO BE COMPRESSED BETWEEN RAIL AND MATTRESS LEADING TO ASPHYXIATION".
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 698021 | DBD-BAR,BED ASSIST | QTC | MEDLINE INDUSTRIES LP |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 91 YR | Female | Death |