FDA Adverse Event
Death
Summary report: N
MATTRESS
MDR report key: 8128958
·
Received November 30, 2018
Report
- Report Number
- 8128958
- Event Type
- Death
- Date Received
- November 30, 2018
- Date of Event
- November 26, 2018
- Report Date
- November 30, 2018
- Manufacturer
- INVACARE
- Product Code
- FMW
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- IL, US
- Reporter Occupation
- 501
Narratives
Description of Event or Problem · 1
ON CALL RN RECEIVED CALL STATING PT HAD PASSED AND DAUGHTER WAS HYSTERICAL. WHEN OCRN ARRIVED AT THE HOME, PT WAS DECEASED AND KNEELING ON THE LEFT SIDE OF THE BED WITH HER HEAD ENTRAPPED BETWEEN THE BED FRAME AND HALF SIDE RAIL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 958220 | MATTRESS | INVACARE INNER SPRING MATTRESS | FMW | INVACARE | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 84 YR | Death |