BEUDAMED
    FDA Adverse Event Death Summary report: N

    ADVANCE

    MDR report key: 2959502 · Received February 7, 2013

    Report

    Report Number
    2959502
    Event Type
    Death
    Date Received
    February 7, 2013
    Date of Event
    February 4, 2013
    Report Date
    February 5, 2013
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO, US

    Narratives

    Description of Event or Problem · 1

    RN GAVE PATIENT MEDICATION IN THE EARLY AM. RN REPORTED THAT PT WAS IN HIS USUAL MENTAL STATE (ALERT AND ORIENTED, AND NOT ATTEMPTING TO GET OUT OF BED). APROXIMATELY 1.5 HOURS LATER, THE RN WALKED INTO THE ROOM, AND FOUND THE PATIENT'S HEAD BETWEEN THE SIDE RAIL AND THE MATTRESS, AND HIS BODY HANGING OUT OF THE BED. THE STAFF DISLODGED THE PATIENT'S HEAD, AND LOWERED HIM TO THE FLOOR. THE PATIENT WAS UNRESPONSIVE AND PULSELESS.THE PATIENT WAS PLACED BACK INTO THE BED. A CODE WAS CALLED, AND ACLS PROTOCOL WAS FOLLOWED. THE PATIENT'S FSBS (FINGER STICK BLOOD SUGAR) WAS 39 AT THE BEGINNING OF THE CODE.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?ACTIVITY ORDERS: BED REST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    51412 ADVANCE BED, HOSPITAL, AC POWERED FNL HILL-ROM, INC. ADVANCE *

    Patients

    Seq Age Sex Outcome Treatment
    1 71 YR Death