BEUDAMED
    FDA Adverse Event Death Summary report: N

    BEDRAILS

    MDR report key: 20722 · Received February 2, 1995

    Report

    Report Number
    20722
    Event Type
    Death
    Date Received
    February 2, 1995
    Date of Event
    January 27, 1995
    Report Date
    February 2, 1995
    Manufacturer
    THILL, INC.
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RESIDENT WAS FOUND BY CNA AND LPN AT 1:15 AM HANGING UPSIDE DOWN BETWEEN BEDRAILS AND MATTRESS/BED WITH HEAD NEAR THE FLOOR, LOWER BODY STILL ON THE BED. VEST RESTRAINT IN PLACE ON BODY AND TIED ON BOTH SIDES OF BED. BODY DIFFICULT TO REMOVE FROM RAILS AS WEDGED INTO SMALL SPACE. BED IN LOW POSITION. NO VITAL SIGNS. CPR NOT ATTEMPTED PER RESIDENT'S ADVANCE DIRECTIVES. DEATH CERTIFICATE LISTED CAUSE OF DEATH AS ASPHYXIA DUE TO PRESSURE ON CHEST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BEDRAILS FULL BEDRAILS FNL THILL, INC. 5100

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Death ELECTRIC BED , VEST RESTRAINT