BEUDAMED
    FDA Adverse Event Death Summary report: N

    AUTO EXCEL

    MDR report key: 495717 · Received November 17, 2003

    Report

    Report Number
    2431480-2003-00003
    Event Type
    Death
    Date Received
    November 17, 2003
    Date of Event
    November 3, 2003
    Report Date
    November 17, 2003
    Manufacturer
    HUNTLEIGH HEALTHCARE, INC.
    Product Code
    FNM
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    PT'S HEAD FOUND ENTRAPPED IN A HILL-ROM BED RAIL THAT WAS IN USE WITH A HILL-ROM MATTRESS AND HUNTLEIGH HEALTHCARE AUTO-EXCEL OVERLAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AUTO EXCEL MATTRESS OVERLAY AND PUMP FNM HUNTLEIGH HEALTHCARE, INC. AU1020 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Death HILL-ROM ADVANCE 2000 BED FRAME AND MATTRESS.