FDA Adverse Event
Injury
Summary report: N
PANACEA
MDR report key: 1046393
·
Received May 17, 2008
Report
- Report Number
- 2438477-2008-00005
- Event Type
- Injury
- Date Received
- May 17, 2008
- Report Date
- May 16, 2008
- Manufacturer
- EEZCARE MEDICAL CORP.
- Product Code
- FNM
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- WI, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT THIS DEVICE HAD BEEN USED IN A NURSING HOME. IT WAS ALLEGED THAT THERE WAS A "BUBBLING" OR AN AIR BLADDERS IN THE MIDDLE SECTION OF THE MATTRESS WHICH CAUSED TWO NURSING HOME RESIDENTS TO SLIDE OFF THE SIDES OF THE MATTRESS AND ALLEGEDLY INJURED THEMSELVES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PANACEA | LOW AIR LOSS MATTRESS SYSTEM | FNM | EEZCARE MEDICAL CORP. | 14028DS-3580 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |