FDA Adverse Event
Death
Summary report: N
SECURE-ALL ONE PIECE BODY HOLDER
MDR report key: 204613
·
Received December 18, 1998
Report
- Report Number
- 204613
- Event Type
- Death
- Date Received
- December 18, 1998
- Date of Event
- November 26, 1998
- Report Date
- December 2, 1998
- Manufacturer
- TECNOL MEDICAL PRODUCTS, INC.
- Product Code
- FMQ
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- AZ, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
A 68 Y/O PT WAS FOUND DANGLING FROM SIDE OF BED WITH THE POSEY AROUND HER NECK. SMALL SIZE USED. PT WEIGHED BETWEEN 90 AND 100 POUNDS. HISTORY OF PROGRESSIVE DEMENTIA AND PNEUMONIA, DEHYDRATION AND RENAL FAILURE. WAS MADE A MEDICAL EXAMINER'S CASE AND CAUSE OF DEATH HAS YET TO BE DETERMINED. POLICE TOOK THE POSEY AS PART OF THEIR INVESTIGATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SECURE-ALL ONE PIECE BODY HOLDER | POSEY | FMQ | TECNOL MEDICAL PRODUCTS, INC. | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 68 YR | Death |