FDA Adverse Event
Summary report: N
INVACARE SOLACE SPS1080 MATTRESS
MDR report key: 3497031
·
Received November 20, 2013
Report
- Report Number
- 3007008421-2013-00010
- Date Received
- November 20, 2013
- Date of Event
- October 17, 2013
- Report Date
- November 15, 2013
- Manufacturer
- FOAM CRAFT A DIVISION OF FUTURE FOAM INC.
- Product Code
- IKY
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
THE REPORT INCIDENT RELATES TO A SLIT IN THE MATTRESS COVER OF AN UNKNOWN PREVENTION FOAM MATTRESS (SPS1080/SPS2080/SPS3080) WHEN TAKEN OUT OF THE BOX. NO INJURY IS REPORTED AT THIS TIME. THE MATTRESS MANUFACTURER INSPECTS ALL OF THEIR PRODUCTS FOR QUALITY ASSURANCE AND CORRECTNESS BEFORE ANY OF THE PRODUCTS PRODUCED ARE SHIPPED. THE CONSUMER WILL NEED TO CONTACT HIS/HER DEALER/DISTRIBUTOR FOR REPLACEMENT OF THE MATTRESS COVER. THE MATTRESS MANUFACTURER; HOWEVER, WILL MAKE SURE TO PLACE A HIGH AWARENESS NOTICE IN ALL OF THE PERSONNEL INVOLVED TO PREVENT THIS QUALITY ISSUE FROM HAPPENING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 604283 | INVACARE SOLACE SPS1080 MATTRESS | SPS1080 | IKY | FOAM CRAFT A DIVISION OF FUTURE FOAM INC. | SPS1080 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |