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