FDA Adverse Event Other Summary report: N

BED MATTRESS

MDR report key: 262376 · Received February 11, 2000

Report

Report Number
2182305-2000-00005
Event Type
Other
Date Received
February 11, 2000
Date of Event
February 8, 2000
Report Date
February 11, 2000
Manufacturer
SUNRISE MEDICAL CCG
Product Code
FNJ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED BY SON OF PATIENT, MATTRESS WAS FINE A FEW DAYS EARLIER THEN MATTRESS DEFLATED CAUSING PATIENT TO FALL FROM HER BED. PATIENT RECEIVED A CUT ON THE CHIN; NURSE ON CALL CHARTED "INJURY IS MINOR, PATIENT DID NOT HAVE FURTHER PAIN AND CUT WAS TREATED WITH OINTMENT".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BED MATTRESS BED, FLOTATION THERAPY, POWERED MATTRESS FNJ SUNRISE MEDICAL CCG 350753 NA

Patients

Seq Age Sex Outcome Treatment
1 * Other