BEUDAMED
    FDA Adverse Event Death Summary report: N

    MEDLINE

    MDR report key: 5948844 · Received September 10, 2016

    Report

    Report Number
    5948844
    Event Type
    Death
    Date Received
    September 10, 2016
    Date of Event
    August 28, 2016
    Report Date
    September 9, 2016
    Manufacturer
    MEDLINE INDUSTRIES, INC.
    Product Code
    FME
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ENTERED RESIDENT'S ROOM TO GIVE MEDS AND SAW HE WASN'T IN BED, FOUND HIM SITTING ON FLOOR WITH HIS HEAD DOWN AND NOTICED HIS GOWN STRINGS IN THE BACK WERE CAUGHT ON THE SIDE RAIL. I COULD TELL HE WAS DECEASED, I FELT NO PULSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    593327 MEDLINE PATIENT GOWN FME MEDLINE INDUSTRIES, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 81 YR Death