FDA Adverse Event Death Summary report: N

SOF.CARE

MDR report key: 295762 · Received August 29, 2000

Report

Report Number
1313850-2000-00001
Event Type
Death
Date Received
August 29, 2000
Date of Event
January 5, 1999
Report Date
August 7, 2000
Manufacturer
GAYMAR INDUSTRIES, INC.
Product Code
FNM
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

PT FOUND WITH HEAD WEDGED BETWEEN THE END OF THE HALF SIDE RAIL AND THE MATTRESS. THERE WAS NO FAILURE OF THE SIDE RAIL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SOF.CARE MATTRESS OVERLAY FNM GAYMAR INDUSTRIES, INC. SC427 OVERLAY CP300 PUMP UNK

Patients

Seq Age Sex Outcome Treatment
1 79 YR Death