BEUDAMED
    FDA Adverse Event Death Summary report: N

    KINAIR MEDSURG PULSE

    MDR report key: 1971153 · Received January 14, 2011

    Report

    Report Number
    1971153
    Event Type
    Death
    Date Received
    January 14, 2011
    Date of Event
    January 11, 2011
    Report Date
    January 14, 2011
    Manufacturer
    KCI-USA, INC
    Product Code
    IOQ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PATIENT WAS FOUND WITH HIS RIGHT SHOULDER WEDGED BETWEEN THE RIGHT UPPER SIDE RAIL AND THE MATTRESS. THE PATIENT'S HEAD WAS POSITIONED WITH HIS CHIN RESTING ON THE TOP OF THE RIGHT UPPER SIDE RAIL. HIS LOWER BODY WAS OFF THE BED WITH HIS FEET RESTING ON THE FLOOR. BOTH LOWER SIDE RAILS WERE DOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KINAIR MEDSURG PULSE SPECIALTY BED WITH AIR FLOW MATTRESS IOQ KCI-USA, INC * *

    Patients

    Seq Age Sex Outcome Treatment
    1 88 YR Death