BEUDAMED
    FDA Adverse Event Death Summary report: N

    CARE 100 PATIENT BED

    MDR report key: 3520908 · Received December 3, 2013

    Report

    Report Number
    3009525805-2013-00057
    Event Type
    Death
    Date Received
    December 3, 2013
    Date of Event
    November 8, 2013
    Report Date
    November 25, 2013
    Manufacturer
    JOERNS HEALTHCARE
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    JOERNS SENDING THE REPORT TO THE MANUFACTURER.

    Description of Event or Problem · 1

    IT WAS REPORTED TO THE MANUFACTURER BY THE FACILITY (CRYSTAL PINES REHAB AND HEALTHCARE), PER THE FACILITY THE RESIDENT WAS FOUND DECEASED IN THE BED. THE HEAD END OF THE BED WAS LOWER THAN THE FOOT END OF THE BED. THE FACILITY IS NOT ATTRIBUTING THE RESIDENT'S DEATH TO THE BED. THE RESIDENT WAS EXTREMELY ELDERLY AND REQUIRED OXYGEN 24/7.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    625470 CARE 100 PATIENT BED ELECTRIC PATIENT BED FNL JOERNS HEALTHCARE ECCBED

    Patients

    Seq Age Sex Outcome Treatment
    1