FDA Adverse Event Death Summary report: N

BED,BASIC, SEMI ELECTRIC, 450 LB

MDR report key: 23110046 · Received September 22, 2025

Report

Report Number
1417592-2025-00498
Event Type
Death
Date Received
September 22, 2025
Date of Event
August 4, 2025
Report Date
September 22, 2025
Manufacturer
MEDLINE INDUSTRIES, LP
Product Code
LLI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

"A FIRE ORIGINATED IN THE HOME ON (B)(6) /2025, WHICH RESULTED IN THE DEATH OF [THE CUSTOMER]. THE INVESTIGATION INTO THE CAUSE OF THE FIRE IS ONGOING, BUT THE PRELIMINARY INVESTIGATION INDICATES THAT THE FIRE ORIGINATED ON A BED." ACCORDING TO THE INITIAL INVESTIGATION SUMMARY, THE CUSTOMER WAS TRANSPORTED TO THE HOSPITAL WHERE HE REMAINED HOSPITALIZED FOR ONE WEEK BEFORE PASSING AWAY. MEDICAL FINDINGS INDICATED BURNS ACROSS THE TORSO WITH NO EVIDENCE OF SMOKE INHALATION. INVESTIGATORS OBSERVED "BURN DAMAGE ON THE MATTRESS AROUND THE MIDDLE OF THE BED WITH MINIMAL WATER AND SMOKE DAMAGE." INSPECTORS CONFIRMED THE POWER SUPPLY WAS ORIGINALLY CONNECTED TO AN EXTENSION CORD AND THAT THE "PENDANT" COMPONENT WAS BELIEVED TO HAVE BEEN DISCARDED AT THE HOSPITAL WITH THE CUSTOMER'S GARMENTS. NO ADDITIONAL INFORMATION IS AVAILABLE AT THIS TIME. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT CAUSED OR CONTRIBUTED TO DEATH, THEREFORE, THIS MEDWATCH IS BEING FILED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED OR OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED.

Description of Event or Problem · 0

"A FIRE ORIGINATED IN THE HOME ON (B)(6) 2025, WHICH RESULTED IN THE DEATH OF [THE CUSTOMER]. THE INVESTIGATION INTO THE CAUSE OF THE FIRE IS ONGOING, BUT THE PRELIMINARY INVESTIGATION INDICATES THAT THE FIRE ORIGINATED ON A BED."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2510962 BED,BASIC, SEMI ELECTRIC, 450 LB LLI MEDLINE INDUSTRIES, LP

Patients

Seq Age Sex Outcome Treatment
1 72 YR Male Death