FDA Adverse Event Malfunction Summary report: N

ENVY G SERIES

MDR report key: 20266108 · Received September 19, 2024

Report

Report Number
MW5159742
Event Type
Malfunction
Date Received
September 19, 2024
Report Date
September 17, 2024
Manufacturer
AGILITI HEALTH - ELLIS
Product Code
FNM
Product Problem
Yes
Report Source
Voluntary report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
*

Narratives

Description of Event or Problem · 0

TWO (2) ENVYLINE G SERIES MATTRESSES COMPROMISED. REF REPORT: MW5159741.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1525636 ENVY G SERIES MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE FNM AGILITI HEALTH - ELLIS

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown