BEUDAMED
    FDA Adverse Event Injury Summary report: N

    KAP APM CU, APM 36X80 MATTRESS

    MDR report key: 17523703 · Received August 12, 2023

    Report

    Report Number
    MW5130651
    Event Type
    Injury
    Date Received
    August 12, 2023
    Date of Event
    November 12, 2018
    Report Date
    November 14, 2018
    Manufacturer
    KAP MEDICAL
    Product Code
    FNM
    Report Source
    Voluntary report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 0

    PT. FELL OUT OF BED THIS AM. PER (B)(6) AT HOSPICE UNSURE IF ANY INJURIES OCCURRED OR IF THERE WERE ANY WITNESSES. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2218242 KAP APM CU, APM 36X80 MATTRESS MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE FNM KAP MEDICAL

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown