BEUDAMED
    FDA Adverse Event Death Summary report: N

    SKIL-CARE

    MDR report key: 512401 · Received January 31, 2004

    Report

    Report Number
    512401
    Event Type
    Death
    Date Received
    January 31, 2004
    Date of Event
    January 14, 2004
    Report Date
    January 27, 2004
    Manufacturer
    SKIL-CARE CORP
    Product Code
    IQB
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT FOUND IN WC WITH THEIR SAFETY BELT AROUND NECK. RESIDENT WAS ALERT WITH PERIODS OF CONFUSION PRIOR TO EVENT. RESIDENT REMOVED FROM W.C. NO PULSE OR RESP DETECTED. PARAMEDICS CALLED. RESIDENT PRONOUNCED AT THE SCENE. POLICE, M.E.) 2 STATE AGENCIES NOTIFIED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SKIL-CARE SAFETY BELT IQB SKIL-CARE CORP * *

    Patients

    Seq Age Sex Outcome Treatment
    1 94 YR Death