FDA Adverse Event
Death
Summary report: N
FLORENCE BED
MDR report key: 5192387
·
Received October 28, 2015
Report
- Report Number
- 3009591865-2015-00004
- Event Type
- Death
- Date Received
- October 28, 2015
- Date of Event
- August 18, 2015
- Report Date
- October 23, 2015
- Manufacturer
- UMANO MEDICAL INC
- Product Code
- FNL
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS ALLEGED THAT ONE (B)(6) PATIENT WAS FOUND UNCONSCIOUS ON THE GROUND, WITH HIS HEAD STUCK BETWEEN THE RAIL OF THE BED AND THE MATTRESS. IT WAS FURTHER REPORTED THAT THE PATIENT DIED THE FOLLOWING DAY. ACCORDING TO THE MEDICAL EXAMINER, THE PATIENT DIED OF A HEART ATTACK AND STROKE. AN EVALUATION OF THE UNIT WAS PERFORMED BY A SERVICE TECHNICIAN, AND NO DEFECT OR MALFUNCTION WERE FOUND.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 714020 | FLORENCE BED | HOSPITAL BED, A-C POWERED ADJUSTABLE | FNL | UMANO MEDICAL INC | FL23SE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR | Death |