BEUDAMED
    FDA Adverse Event Death Summary report: N

    BED-CHECK SENSORMAT

    MDR report key: 293267 · Received August 17, 2000

    Report

    Report Number
    1640702-2000-00003
    Event Type
    Death
    Date Received
    August 17, 2000
    Date of Event
    July 20, 2000
    Report Date
    August 17, 2000
    Manufacturer
    BED-CHECK CORP
    Product Code
    KMI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT WAS FOUND AT APPROX 12:15AM BY CNA AND ORIENTEE, LAYING ON THE SIDE, ON THE FLOOR NEXT TO THE BED WITH THE HEAD IN WASTE RECEPTICLE. PT HAD A BED ALARM AND 2, 1/2 SIDERAILS. 1 SIDERAIL DOWN WHEN STAFF FOUND PT AND LIGHT ON OVER DOOR AND AT NURSE'S STATION, BUT NO SOUND EMITTING FROM BED ALARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BED-CHECK SENSORMAT BED ALARM KMI BED-CHECK CORP 30 DAY *

    Patients

    Seq Age Sex Outcome Treatment
    1 92 YR Death BED-CHECK ALARM