BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MICROTEK

    MDR report key: 14137024 · Received April 18, 2022

    Report

    Report Number
    1043582-2022-00002
    Event Type
    Malfunction
    Date Received
    April 18, 2022
    Date of Event
    March 29, 2022
    Report Date
    April 18, 2022
    Manufacturer
    ECOLAB/MICROTEK MEDICAL INC.
    Product Code
    KME
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    IT WAS REPORTED THAT THE PATIENT SLID WHILE IN THE TRENDELENBERG POSTION. NO PATIENT INFECTION, INJURY, OR COMPLICATIONS WERE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2043991 MICROTEK ABSORBANT TABLE COVER KME ECOLAB/MICROTEK MEDICAL INC. ABTSLSF 211005V

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown