BEUDAMED
    FDA Adverse Event Death Summary report: N

    MEDICAL INDUSTRIES

    MDR report key: 330286 · Received May 3, 2001

    Report

    Report Number
    330286
    Event Type
    Death
    Date Received
    May 3, 2001
    Date of Event
    April 28, 2001
    Report Date
    May 1, 2001
    Manufacturer
    NOA MEDICAL INDUSTRIES
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    AL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THIS RESIDENT WAS IN AN 80 INCH ELECTRIC RISER BED WITH HEAD/FOOT BOARDS. THE BED MOTOR WAS PLUGGED INTO AN ELECTRICAL OUTLET BESIDE THE BED. STAFF MEMBERS SAW SMOKE AND FOUND THE RESIDENT'S BED IN FLAMES. THE RESIDENT WAS TRANSFERRED TO A LOCAL EMERGENCY ROOM AND FLOWN TO A HOSPITAL BURN CENTER. PT DIED FROM INJURIES 2 DAYS LATER. REPORTER DOES NOT HAVE OFFICIAL FINDINGS FROM THE STATE FIRE MARSHALL, AT THIS TIME, REGARDING THE ORIGIN OF THE FIRE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    20530 MEDICAL INDUSTRIES ELECTRIC RISER BED FNL NOA MEDICAL INDUSTRIES * *

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Death| H| L