BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BARIATRIC WAFFLE CUSHION

    MDR report key: 18864825 · Received March 8, 2024

    Report

    Report Number
    18864825
    Event Type
    Malfunction
    Date Received
    March 8, 2024
    Date of Event
    February 13, 2024
    Report Date
    February 22, 2024
    Manufacturer
    EHOB INC
    Product Code
    KIC
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IN
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    WAFFLE CUSHION DELATED WHILE PATIENT WAS USING CUSHION IN THE CHAIR. MANUFACTURER RESPONSE FOR PRESSURE REDUCTION CUSHION, WAFFLE CUSHION (PER SITE REPORTER). EQUIPMENT FAILURE REPORTED TO CUSTOMER SERVICE TEAM LEAD. DEFLATED CUSHION TO BE PICKED UP BY EHOB REPRESENTATIVE. REPLACEMENT CUSHION WILL BE PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    991528 BARIATRIC WAFFLE CUSHION CUSHION, FLOTATION KIC EHOB INC 2200WC 3321120

    Patients

    Seq Age Sex Outcome Treatment
    1 93 YR Male