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