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 |