FDA Adverse Event
Death
Summary report: N
SPIRIT ONE
MDR report key: 4543692
·
Received January 28, 2015
Report
- Report Number
- 1831750-2015-00054
- Event Type
- Death
- Date Received
- January 28, 2015
- Date of Event
- January 1, 2015
- Report Date
- January 5, 2015
- Manufacturer
- CHG HOSPITAL BEDS, INC.
- Product Code
- FNL
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT A NURSE WENT TO THE PT ROOM TO CHECK ON THE PT. THE PT WAS ALLEGEDLY FOUND DECEASED, KNEELING ON THE FLOOR, WITH HIS HEAD BETWEEN THE LEFT HEADEND AND FOOTEND SIDERAILS. THE USER FACILITY FURTHER REPORTED THAT THE PT, WHO WAS ADMITTED FOR "BEHAVIORAL ISSUES," WAS AMBULATORY AND WAS GIVEN THE FREEDOM TO GET OUT OF BED AND WALK AROUND. THE UNIT INVOLVED IN THE REPORTED INCIDENT WAS EVALUATED BY THE MFR, AND NO MALFUNCTION OR DEFECTS WERE FOUND.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 63899 | SPIRIT ONE | BED, AC-POWERED ADJUSTABLE HOSP | FNL | CHG HOSPITAL BEDS, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 67 YR | Death |