BEUDAMED
    FDA Adverse Event Summary report: N

    ALTERNATING PRESSURE AIR FLOTATION MATTRESS

    MDR report key: 2468959 · Received February 27, 2012

    Report

    Report Number
    1531186-2012-00013
    Date Received
    February 27, 2012
    Date of Event
    February 11, 2012
    Report Date
    February 24, 2012
    Manufacturer
    KAP MEDICAL
    Product Code
    FNM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ME, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATED THAT THE POWER UNIT WAS ALLEGEDLY SMOKING AND BURNING. NO INJURY ALLEGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALTERNATING PRESSURE AIR FLOTATION MATTRESS 880.5550 FNM KAP MEDICAL MA95Z

    Patients

    Seq Age Sex Outcome Treatment
    1 58 MO Other