FDA Adverse Event Death Summary report: N

DBD-BAR,BED ASSIST

MDR report key: 20031905 · Received August 22, 2024

Report

Report Number
1417592-2024-00814
Event Type
Death
Date Received
August 22, 2024
Date of Event
October 22, 2020
Report Date
August 21, 2024
Manufacturer
MEDLINE INDUSTRIES LP
Product Code
BTR
Removal / Correction Number
R-24-MED 3
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

ACCORDING TO THE CUSTOMER CONTACT "MY ELDERLY MOTHERS ENTIRE RIGHT ARM BECAME WEDGED BETWEEN THE RAIL AND THE MATTRESS, CLOSE TO THE BOX SPRING". PER THE CONTACT THE USER OF THE DEVICE BECAME ENTRAPPED AND EXPIRED "WITH HER FACE BURIED IN BLANKETS WADDED UP AT THE SIDE OF THE MATTRESS WHERE SHE HAD FALLEN". PER THE CONTACT "HER ARM WAS TRAPPED ALL THE WAY UP TO HER SHOULDER" AND SHE WAS FOUND DECEASED "WITH HER FACE STUFFED IN BEDDING WHERE THE RAIL MET THE BED". PER THE CONTACT THEY WERE NOT ABLE TO CONFIRM IF THE SECUREMENT STRAP WAS USED. 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 REQUIRING MEDICAL INTERVENTION, THEREFORE, THIS MEDWATCH IS BEING FILED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED OR OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED.

Description of Event or Problem · 0

ACCORDING TO THE CUSTOMER CONTACT "MY ELDERLY MOTHERS ENTIRE RIGHT ARM BECAME WEDGED BETWEEN THE RAIL AND THE MATTRESS, CLOSE TO THE BOX SPRING".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1218034 DBD-BAR,BED ASSIST BTR MEDLINE INDUSTRIES LP

Patients

Seq Age Sex Outcome Treatment
1 89 YR Female Death