BEUDAMED
    FDA Adverse Event Death Summary report: N

    AM FAB

    MDR report key: 82726 · Received April 4, 1997

    Report

    Report Number
    82726
    Event Type
    Death
    Date Received
    April 4, 1997
    Date of Event
    April 1, 1997
    Report Date
    April 3, 1997
    Manufacturer
    AM FAB
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    MN, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    AT 1:40PM. "NURSE STAT" CALLED TO PTS ROOM. RN ARRIVED FINDING PT LEGS & KNEES RESTING ON THE FLOOR NEAR MIDDLE OF BED, ARMS AT HER SIDES, BUTTOCKS NOT ON THE FLOOR. RESIDENTS HEAD WAS ON THE MATTRESS WITH HER CHIN CAUGHT IN THE UPPER 1/2 SIDE RAIL. HER NECK WAS HYPER-EXTENDED. LOWERED THE RESIDENT TO THE FLOOR FOR ASSESSMENT. PT WAS WITHOUT PULSE, RESPIRATIONS AND BODY COLD TO TOUCH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AM FAB AM FAB 1/2 SIDERAIL FNL AM FAB 5200 *

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Death