BEUDAMED
    FDA Adverse Event Death Summary report: N

    AM PLUS BED

    MDR report key: 371234 · Received January 11, 2002

    Report

    Report Number
    371234
    Event Type
    Death
    Date Received
    January 11, 2002
    Date of Event
    January 3, 2002
    Report Date
    January 11, 2002
    Manufacturer
    AMERICAN OF MARTINSVILLE
    Product Code
    FNJ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    SC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SKILLED NURSING FACILITY RESIDENT DIED. PT WAS FOUND WITH HEAD CAUGHT BETWEEN THE MATTRESS AND SIDERAIL OF BED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AM PLUS BED HEALTH CARE BED FNJ AMERICAN OF MARTINSVILLE 5888-800 *
    2 ONE-HALF RAIL FOR AM PLUS BED BED RAIL FNJ AMERICAN OF MARTINSVILLE 5888-801 *

    Patients

    Seq Age Sex Outcome Treatment
    1 89 YR Death PT PROTECTOR (MOVEMENT ALARM)