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