BEUDAMED
    FDA Adverse Event Death Summary report: N

    CENTURY TUB

    MDR report key: 509158 · Received February 3, 2004

    Report

    Report Number
    9611530-2004-00004
    Event Type
    Death
    Date Received
    February 3, 2004
    Date of Event
    January 2, 2004
    Report Date
    January 30, 2004
    Manufacturer
    ARJO HOSPITAL EQUIPMENT AB
    Product Code
    ILJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    THE FACILITY REPORTS THE CARE AIDE DID NOT TEST THE WATER TEMP BY HAND PRIOR TO IMMERSING THE RESIDENT IN THE TUB. THE RESIDENT BECAME AGITATED UPON IMMERSION. THE CARE AIDE REMOVED THE RESIDENT FROM THE TUB. THE RESIDENT HAD BEEN SCALDED AND WAS TRANSPORTED TO THE BURN UNIT. THE RESIDENT LATER PASSED AWAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CENTURY TUB BATHING SYSTEM ILJ ARJO HOSPITAL EQUIPMENT AB AHBXXXX NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Death