BEUDAMED
    FDA Adverse Event Death Summary report: N

    HIL-ROM

    MDR report key: 532994 · Received July 2, 2004

    Report

    Report Number
    532994
    Event Type
    Death
    Date Received
    July 2, 2004
    Date of Event
    June 18, 2004
    Report Date
    July 1, 2004
    Manufacturer
    HIL-ROM
    Product Code
    FNJ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RESIDENT FOUND ENTRAPPED BETWEEN HOSP BED SIDE RAIL AND MATTRESS. CPR WAS DONE BUT UNSUCCESSFUL IN RESUSCITATION. THE PT ALSO HAD AN AIR MATTRESS OVERLAY ON THE BED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HIL-ROM HOSPITAL BED FNJ HIL-ROM 1062 *

    Patients

    Seq Age Sex Outcome Treatment
    1 93 YR Death SA 900 AIR MATTRESS OVERLAY.