BEUDAMED
    FDA Adverse Event Death Summary report: N

    HOSPITAL BED MANUAL

    MDR report key: 501486 · Received December 2, 2003

    Report

    Report Number
    2182305-2003-00006
    Event Type
    Death
    Date Received
    December 2, 2003
    Date of Event
    October 13, 2003
    Report Date
    December 1, 2003
    Manufacturer
    SUNRISE MEDICAL
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RESIDENT WAS FOUND DECEASED IN ROOM. "PER LIABILITY CARRIER THEIR INVESTIGATION INDICATES RESIDENT'S BODY WENT BETWEEN THE BED MATTRESS AND BED RAIL, WITH THE BED RAIL RESTING AGAINST NECK." NO IDENTIFICATION AS TO THE MAKE AND MODEL OF THE RAIL COMBINATION, ALSO NO MATTRESS MAKE, MODEL, OR DIMENSIONS WERE MENTIONED. BED WAS IDENTIFIED AS THE EZC SERIES, HI/LOW MODEL B732 BELIEVED TO BE MANUFACTURED BY SUNRISE MEDICAL. NO OTHER INFO IS KNOWN AT THIS TIME ABOUT INCIDENT OR RESIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOSPITAL BED MANUAL BED MANUAL FNL SUNRISE MEDICAL B732 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Death