BEUDAMED
    FDA Adverse Event Death Summary report: N

    MANUAL FREESTYLE BED W/ F14 HALF RAILS

    MDR report key: 278758 · Received May 18, 2000

    Report

    Report Number
    2182305-2000-00006
    Event Type
    Death
    Date Received
    May 18, 2000
    Date of Event
    January 20, 2000
    Report Date
    February 22, 2000
    Manufacturer
    SUNRISE MEDICAL CCG
    Product Code
    FNJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED RESIDENT WAS FOUND ON THE FLOOR ALONG SIDE THE RIGHT SIDE OF THE BED. PT'S BLANKETS AND PT'S BODY WERE ON THE FLOOR WITH PT'S CHIN ON THE SIDERAIL. THE BLANKETS WERE SOMEWHAT WRAPPED AROUND PT'S LOWER EXTREMITIES. PT HAD A BATHTOWEL AROUND PT'S NECK THAT WAS TWISTED UNDER PT'S CHIN AND WAS STUCK IN THE SIDERAIL. THE TOWEL NEEDED TO BE DISLODGED BEFORE STAFF COULD LOWER RESIDENT TO THE FLOOR. PT USED A ROLLED UP BATHTOWEL UNDER PT'S NECK FOR COMFORT AND POSITIONING. RESIDENT USED BOTH SIDERAILS FOR REPOSITIONING OF SELF IN BED. RESIDENT ALWAYS GOT UP FROM THE LEFT SIDE OF THE BED, AND PT ALWAYS WAITED FOR ASSISTANCE. THE FACT THAT PT WAS FOUND ON THE RIGHT SIDE OF THE BED AND DID NOT USE THE CALL LIGHT FOR ASSISTANCE LED FACILITY TO BELIEVE THERE MAY HAVE BEEN A MEDICAL EVENT WHICH PRECIPITATED THE INCIDENT WHICH LED TO PT'S DEATH. AUTOPSY WAS REQUESTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MANUAL FREESTYLE BED W/ F14 HALF RAILS MANUAL HOSPITAL BED W/ HALF RAILS FNJ SUNRISE MEDICAL CCG B40 BED W/ F14 RAILS NA

    Patients

    Seq Age Sex Outcome Treatment
    1 89 YR Death