BEUDAMED
    FDA Adverse Event Other Summary report: N

    KCI KINAIR MED SURG PULSE BED -KCI MATTRESS ON A

    MDR report key: 789720 · Received December 2, 2006

    Report

    Report Number
    MW1041241
    Event Type
    Other
    Date Received
    December 2, 2006
    Date of Event
    July 31, 2006
    Report Date
    December 2, 2006
    Manufacturer
    KCI USA, INC.
    Product Code
    INX
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PATIENT WAS ON A LOW AIR LOSS BED WITH SIDE RAIL NEAR THE HEAD OF THE BED UP. DURING SLEEP, THE PATIENT SLID OFF THE BED AND HIS HEAD BECAME ENTRAPPED BETWEEN THE BED RAIL AND THE FRAME OF THE BED. THE PATIENT'S UPPER FRONT TEETH CAUGHT ON THE RAIL AND HIS BUTTOCKS WAS ON THE FLOOR. THE NECK WAS HYPEREXTENDED. THE SIDE RAIL WAS PULLED OUT A LITTLE TO FREE THE PATIENT FROM THE FRAME. THE PATIENT HAD A SMALL LACERATION ON THE LOWER LIP. NO OTHER INJURIES SUSTAINED. NOTE: THE SERIAL NUMBER PROVIDED IS THE HILLROM NUMBER. THERE IS A SEPARATE KCI SERIAL NUMBER WHICH WAS NOT IMMEDIATELY RECOGNIZED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KCI KINAIR MED SURG PULSE BED -KCI MATTRESS ON A KIN AIR BED INX KCI USA, INC. 40030 *

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Other