FDA Adverse Event Death Summary report: N

JOERNS B530 BED

MDR report key: 7872241 · Received September 13, 2018

Report

Report Number
3009402404-2018-00059
Event Type
Death
Date Received
September 13, 2018
Date of Event
January 21, 2017
Report Date
September 13, 2018
Manufacturer
JOERNS HEALTHCARE
Product Code
FNL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 1

ADDITIONAL EQUIPMENT INVOLVED: BILATERAL HALF SIDE RAILS WERE INSTALLED ON THE BED. BRAND NAME NOR MODEL NUMBER HAVE BEEN PROVIDED.

Description of Event or Problem · 1

IT WAS REPORTED TO THE MANUFACTURER BY THE END USER, PER THE END USER, "PATIENT WAS FOUND UNRESPONSIVE AT APPROXIMATELY 2:20 A.M. WITH HIS HEAD TRAPPED BETWEEN THE MATTRESS AND SIDE RAIL OF HIS BED. THE CORONER DECLARED PATIENTS' CAUSE OF DEATH AS ASPHYXIA CAUSED BY NECK COMPRESSION THAT OCCURRED WHEN HIS HEAD WAS TRAPPED BETWEEN THE MATTRESS AND SIDE RAIL. THE MATTRESS PROVIDED TO THE FACILITY DID NOT FIT THE BED, LEAVING GAPS BETWEEN THE MATTRESS AND BED RAILS." COMPLAINT# (B)(4) WAS ENTERED INTO OUR SYSTEM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
714878 JOERNS B530 BED ELECTRIC PATIENT BED FNL JOERNS HEALTHCARE B530

Patients

Seq Age Sex Outcome Treatment
1 63 YR Death