BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AIRPAL PATIENT TRANSFER SYSTEM

    MDR report key: 2622055 · Received June 13, 2012

    Report

    Report Number
    2622055
    Event Type
    Malfunction
    Date Received
    June 13, 2012
    Date of Event
    April 18, 2012
    Report Date
    June 13, 2012
    Manufacturer
    PATIENT TRANSFER SYSTEMS, INC.
    Product Code
    FRZ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US

    Narratives

    Description of Event or Problem · 1

    THE PATIENT TRANSFER MAT HANDLES PULLED OUT OF THE MAT AND DEFLATED THE MAT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AIRPAL PATIENT TRANSFER SYSTEM PATIENT TRANSFER MAT. FRZ PATIENT TRANSFER SYSTEMS, INC. 037SPS *

    Patients

    Seq Age Sex Outcome Treatment
    1 *