BEUDAMED
    FDA Adverse Event Death Summary report: N

    MANUAL FREESTYLE BED W/ HALF RAILS

    MDR report key: 279511 · Received May 24, 2000

    Report

    Report Number
    2182305-2000-00013
    Event Type
    Death
    Date Received
    May 24, 2000
    Date of Event
    May 15, 2000
    Report Date
    May 24, 2000
    Manufacturer
    SUNRISE MEDICAL CCG
    Product Code
    FNJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE GNA OBSERVED THE RESIDENT'S NECK LODGED BETWEEN THE MATTRESS AND THE TOP LEFT SIDE RAIL WHICH WAS RAISED. THE RESIDENT'S HEAD WAS FACING AWAY FROM THE BED. PT WAS UNRESPONSIVE WITH NO VITAL SIGNS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MANUAL FREESTYLE BED W/ HALF RAILS MANUAL HOSP BED W/ HALF RAILS FNJ SUNRISE MEDICAL CCG B40 BED W/F1441 RAILS *

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Death