FDA Adverse Event Other Summary report: N

FIRST STEP SELECT

MDR report key: 1639122 · Received March 22, 2010

Report

Report Number
MW5015259
Event Type
Other
Date Received
March 22, 2010
Date of Event
March 19, 2010
Report Date
March 22, 2010
Manufacturer
KCI-USA INC.
Product Code
INX
Report Source
Voluntary report
Reporter Location
CO, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

AFTER PT REPOSITIONED HIMSELF, HE SLID OFF THE KCI FIRST STEP SELECT MATTRESS THAT HE WAS ON.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FIRST STEP SELECT AIR MATTRESS INX KCI-USA INC.

Patients

Seq Age Sex Outcome Treatment
1 36 YR