BEUDAMED
    FDA Adverse Event Death Summary report: N

    CARROM 2002-20

    MDR report key: 218119 · Received April 7, 1999

    Report

    Report Number
    MW1016087
    Event Type
    Death
    Date Received
    April 7, 1999
    Date of Event
    March 22, 1999
    Report Date
    March 29, 1999
    Manufacturer
    MED SERVICE, INC.
    Product Code
    FNJ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TN, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    FOUND UNRESPONSIVE, NO RESPIRATIONS BETWEEN BED FRAME AND SIDE RAIL. AUTOPSY NOT DONE; CAUSE OF DEATH UNKNOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CARROM 2002-20 BED AND SIDERAIL FNJ MED SERVICE, INC. 2002-20 *

    Patients

    Seq Age Sex Outcome Treatment
    1 91 YR Death