BEUDAMED
    FDA Adverse Event Death Summary report: N

    HOSPITAL BED ELECTRIC

    MDR report key: 1962979 · Received January 3, 2011

    Report

    Report Number
    2182305-2010-00051
    Event Type
    Death
    Date Received
    January 3, 2011
    Date of Event
    November 25, 2010
    Report Date
    December 22, 2010
    Manufacturer
    JOERNS HEALTHCARE
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED TO MANUFACTURER, BY (B)(6) STATING THEIR CUSTOMER; (B)(6) HAD AN INCIDENT AT THEIR FACILITY RESULTED IN A RESIDENT DEATH. FACILITY CLAIMS THE REVERSE TRENDELENBURG ON THE BARI10A BED LOCKED UP AND THEIR RESIDENT ASPIRATED AND DIED. (B)(4) WERE ISSUED TO GET BED BACK FOR EVALUATION. AS OF THIS WRITING, EVALUATION/INVESTIGATION PROCESS IS ONGOING. PATIENT INFORMATION: MULTIPLE MEDICAL CONDITIONS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOSPITAL BED ELECTRIC BED, ELECTRIC FNL JOERNS HEALTHCARE BARI10A (BARIATRIC BED) NA

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Death