BEUDAMED
    FDA Adverse Event Other Summary report: N

    NOA AP RISER

    MDR report key: 956582 · Received November 28, 2007

    Report

    Report Number
    956582
    Event Type
    Other
    Date Received
    November 28, 2007
    Date of Event
    June 29, 2006
    Report Date
    July 6, 2006
    Manufacturer
    NOA MEDICAL INDUSTRIES
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RESIDENT WAS FOUND ON FLOOR WITH HEAD BETWEEN BED RAIL AND MATTRESS. BED WAS IN THE LOWEST POSITION, RESIDENT HAD EXPIRED. AUTOPSY BEING PERFORMED. CAUSE OF DEATH PENDING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NOA AP RISER HOSP BED FNL NOA MEDICAL INDUSTRIES AP RISER 062003
    2 SB-500 ALTERNATING PRESSURE MATTRESS AIR MATTRESS FNM STEN-BARR MEDICAL, INC. SB - 500 *

    Patients

    Seq Age Sex Outcome Treatment
    1 89 YR Other