FDA Adverse Event Malfunction Summary report: N

STATIC AIR CUSHION

MDR report key: 15013732 · Received July 14, 2022

Report

Report Number
15013732
Event Type
Malfunction
Date Received
July 14, 2022
Date of Event
May 10, 2022
Report Date
June 20, 2022
Manufacturer
MOLNLYCKE MANUFACTURING US, LLC
Product Code
FMP
Product Problem
Yes
Report Source
User Facility report
Reporter Location
WI
Reporter Occupation
RISK MANAGER
Health Professional
N

Narratives

Description of Event or Problem · 0

WAFFLE CHAIR CUSHION FOUND DEFLATED FOLLOWING PATIENT USE. THE CHAIR CUSHION IS UTILIZED FOR PRESSURE REDUCTION FOR SKIN CARE. IF THIS PRODUCT IS DEFLATED, IT INCREASES THE RISK FOR HOSPITAL ACQUIRED PRESSURE INJURIES. THUS, IT HAS THE POTENTIAL FOR SKIN INTEGRITY IMPAIRMENT. NO PATIENT INJURY NOTED FOR THIS CASE. MANUFACTURER RESPONSE FOR WAFFLE CUSHION, BRAND NOT PROVIDED, PER SITE REPORTER. REPORTED TO MEDLINE AND MOLYLNCKE FOR PRODUCT REPLACEMENT.

Description of Event or Problem · 0

WAFFLE CHAIR CUSHION FOUND DEFLATED FOLLOWING PATIENT USE. THE CHAIR CUSHION IS UTILIZED FOR PRESSURE REDUCTION FOR SKIN CARE. IF THIS PRODUCT IS DEFLATED, IT INCREASES THE RISK FOR HOSPITAL ACQUIRED PRESSURE INJURIES. THUS, IT HAS THE POTENTIAL FOR SKIN INTEGRITY IMPAIRMENT. NO PATIENT INJURY NOTED FOR THIS CASE. MANUFACTURER RESPONSE FOR WAFFLE CUSHION, (BRAND NOT PROVIDED) (PER SITE REPORTER): REPORTED TO MEDLINE AND MOLYLNCKE FOR PRODUCT REPLACEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
469264 STATIC AIR CUSHION PROTECTOR, SKIN PRESSURE FMP MOLNLYCKE MANUFACTURING US, LLC

Patients

Seq Age Sex Outcome Treatment
1 Unknown