FDA Adverse Event Death Summary report: N

RECYCLED JACKET

MDR report key: 672 · Received June 9, 1992

Report

Report Number
672
Event Type
Death
Date Received
June 9, 1992
Date of Event
May 2, 1992
Report Date
May 27, 1992
Manufacturer
J.T. POSEY
Product Code
BRT
Adverse Event
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

PATIENT TRIED TO GET OUT OF BED, WAS RESTRAINED BY POSEY AND BECAME ENTANGLED IN POSEY AND BED SIDERAIL. BED SIDERAIL AND POSEY BOTH RESTRICTED PATIENT'S ABILITY TO BREATH; THUS, PATIENT ARRESTED, AND SUBSEQUENTLY EXPIRED TWO WEEKS LATER. AS A RESULT OF OUR EVALUATION, CONSIDERATION WILL BE GIVEN TO ADDITIONAL MONITORING OF RESTRAINED PATIENTS.RELEVANT DEVICE: HILL-ROM CO., INC. - CENTRA RETRACTABLE BEDEVICE NOT LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: SATISFACTORY CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: ACTUAL DEVICE INVOLVED IN INCIDENT WAS EVALUATED, OTHER, OTHER. RESULTS OF EVALUATION: OTHER. CONCLUSION: THERE WAS NO DEVICE FAILURE. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: YES. CORRECTIVE ACTIONS: DEVICE DISCARDED, OTHER. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RECYCLED JACKET POSEY JACKET BRT J.T. POSEY 3138 N/A

Patients

Seq Age Sex Outcome Treatment
1 75 YR Death