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 |