FDA Adverse Event
Malfunction
Summary report: N
CEGA INNOVATIONS, INC.
MDR report key: 16582543
·
Received March 21, 2023
Report
- Report Number
- 16582543
- Event Type
- Malfunction
- Date Received
- March 21, 2023
- Date of Event
- January 26, 2023
- Report Date
- March 6, 2023
- Manufacturer
- CEGA INNOVATIONS, INC.
- Product Code
- FMR
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- AZ
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
AFTER INFLATION OF REMUV SINGLE PATIENT USE (SPU) AIR TRANSFER MATTRESS, A BAFFLE BROKE AND THE PATIENT TILTED SIDEWAYS, HAD TO DEFLATE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 24074 | CEGA INNOVATIONS, INC. | DEVICE, TRANSFER, PATIENT, MANUAL | FMR | CEGA INNOVATIONS, INC. | MV800 | CEGA2021004 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 26280 DA | Unknown |