BEUDAMED
    FDA Adverse Event Death Summary report: N

    BED MODEL 2000

    MDR report key: 548258 · Received October 8, 2004

    Report

    Report Number
    9680128-2004-00004
    Event Type
    Death
    Date Received
    October 8, 2004
    Date of Event
    August 14, 2004
    Report Date
    September 10, 2004
    Manufacturer
    STRYKER BERTEC MEDICAL, INC.
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A LONG TERM CARE PT ALLEGEDLY FELL OUT OF BED AND BECAME CAUGHT UNDERNEATH THE HEAD END SIDERAIL. REPORTEDLY, BY THE TIME THE RESIDENT WAS FOUND BY THE CAREGIVER STAFF THERE WAS NO PULSE OR RESPIRATORY RESPONSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BED MODEL 2000 ELECTRICAL LONG TERM CARE BED FNL STRYKER BERTEC MEDICAL, INC. FL14E1 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Death