FDA Adverse Event Malfunction Summary report: N

MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE

MDR report key: 20397931 · Received October 7, 2024

Report

Report Number
MW5160773
Event Type
Malfunction
Date Received
October 7, 2024
Report Date
October 1, 2024
Manufacturer
AGILITI HEALTH - ELLIS
Product Code
FNM
Product Problem
Yes
Report Source
Voluntary report
Reporter Occupation
PATIENT
Health Professional
Yes

Narratives

Description of Event or Problem · 0

VETERAN'S AFFAIRS PUGET SOUND HEALTHCARE SYSTEMS IS COMPLETING INSPECTIONS OF ALL HOSPITAL BED AND GURNEY SURFACES PER A NATIONAL PATIENT SAFETY ALERT. THE FOLLOWING WAS INSPECTED: EXTERNAL COVER, ZIPPER, INSIDE OF COVER, MICRO HOLES, FAILURE-ODORS, INTERNAL MATERIALS, FIRE BARRIER. SURFACE FOUND TO BE COMPROMISED: TOP COVER ONLY AREA FOUND TO BE COMPROMISED: EXTERNAL COVER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1934736 MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE FNM AGILITI HEALTH - ELLIS

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown