FDA Adverse Event Death Summary report: N

TECNOL SECURE - ALL

MDR report key: 227137 · Received June 10, 1999

Report

Report Number
227137
Event Type
Death
Date Received
June 10, 1999
Date of Event
May 10, 1999
Report Date
June 9, 1999
Manufacturer
TECNOL, INC.
Product Code
FMQ
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
AZ, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

ON 5/10/99 PT FOUND IN HOSPITAL ROOM ON FLOOR KNEELING WITH ARMS CROSSED ON SIDE OF BED. POSEY VEST ON PT AS SHE WAS FOUND ON OPPSITE SIDE OF SIDERAILS (4 UP) WITH RESTRAINT REMAINING TIED TO BED. PT UNRESPONSIVE, NO RESPIRATIONS OR HEART BEAT. PT WAS CODED AND TRANSFERRED TO SUB-ACUTE CARE UNIT ON VENTILATOR. ON 5/11 PT EXTUBATED AND EXPIRED. UNKNOWN CAUSE OF DEATH WHETHER ATTRIBUTED TO POSEY VEST WAS NOT ACCEPTED AS MEDICAL EXAMINER CASE FOR AUTOPSY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TECNOL SECURE - ALL BODYHOLDER FMQ TECNOL, INC. UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 87 YR Death