BEUDAMED
    FDA Adverse Event Death Summary report: N

    BED,BASIC, SEMI ELECTRIC, 450 LB

    MDR report key: 20128420 · Received September 3, 2024

    Report

    Report Number
    1417592-2024-00835
    Event Type
    Death
    Date Received
    September 3, 2024
    Date of Event
    July 14, 2024
    Report Date
    December 10, 2024
    Manufacturer
    MEDLINE INDUSTRIES, LP
    Product Code
    LLI
    UDI-DI
    40080196320999
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER
    Health Professional
    N

    Narratives

    Additional Manufacturer Narrative · 0

    ACCORDING TO THE REPORT, A FIRE WAS REPORTED IN WHICH A RESIDENT PASSED AWAY. PER THE REPORT "THE DECEDENT WAS USING A MEDLINE MECHANICAL BED". NO ADDITIONAL INFORMATION WAS PROVIDED RELATED TO THE REPORTED INCIDENT. 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.

    Additional Manufacturer Narrative · 0

    UPDATED: B4, D2A, D4, G3, G6, H2. SUPPLEMENTAL MEDWATCH FILED TO PROVIDE CORRECTED PRODUCT CODE, SERIAL NUMBER, UDI.

    Description of Event or Problem · 0

    ACCORDING TO THE REPORT, A FIRE WAS REPORTED IN WHICH A RESIDENT PASSED AWAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    701359 BED,BASIC, SEMI ELECTRIC, 450 LB LLI MEDLINE INDUSTRIES, LP 40080196320999

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown Death