FDA Adverse Event
Death
Summary report: N
EZC HOSPITAL BED W/ SIDE RAILS
MDR report key: 252073
·
Received November 24, 1999
Report
- Report Number
- 2182305-1999-00029
- Event Type
- Death
- Date Received
- November 24, 1999
- Date of Event
- October 22, 1999
- Report Date
- November 11, 1999
- Manufacturer
- SUNRISE MEDICAL CCG
- Product Code
- FNL
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT A RESIDENT IN SPECIAL CARE CENTER WAS FOUND AT SIDE OF BED WITH FEET ON FLOOR AND TORSO CAUGHT BETWEEN HALF RAIL AND MATTRESS. RESIDENT WAS UNREPONSIVE, ABSENT OF VITALS, NO PULSE AND NO RESPIRATION. AUTOPSY BEING DONE - SENT TO MEDICAL EXAMINER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | EZC HOSPITAL BED W/ SIDE RAILS | ELECTRIC HOSPITAL BED W/SIDE RAILS W/IMPRINT CUSTOM MATTRESS | FNL | SUNRISE MEDICAL CCG | EZC 303/BED F14/RAILS IMPRINTM | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 84 YR | Death |