BEUDAMED
    FDA Adverse Event Death Summary report: N

    HOSPITAL BED

    MDR report key: 252077 · Received November 24, 1999

    Report

    Report Number
    2182305-1999-00030
    Event Type
    Death
    Date Received
    November 24, 1999
    Date of Event
    October 9, 1999
    Report Date
    November 11, 1999
    Manufacturer
    SUNRISE MEDICAL CCG
    Product Code
    FNJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A RESIDENT WAS FOUND BETWEEN AIR MATTRESS AND SIDE RAIL WITH FACE TOWARDS THE MATTRESS. SOFT BELT IN BED FOR SAFETY FROM FALLS DUE TO FREQUENT WIGGLING AROUND IN BED, ROLLED BELT WAS STILL ON RESIDENT CORRECTLY POSITIONED AND LOOSE ENOUGH TO PUT A HAND BETWEEN IT, WEDGE CUSHION WAS LYING ON THE TOP OF THE MATTRESS. RESIDENT WAS BLUE AND NOT BREATHING. RESIDENT WAS REPOSITIONED UP ON THE MATTRESS, BREATHING DID NOT RESUME. RESIDENT IS A DO NOT RESUSCITATE STATUS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOSPITAL BED HOSPITAL BED FNJ SUNRISE MEDICAL CCG CAT 1 BIO CLINIC *

    Patients

    Seq Age Sex Outcome Treatment
    1 88 YR Death