BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GAYMAR AIRMATTRESS

    MDR report key: 371179 · Received January 8, 2002

    Report

    Report Number
    371179
    Event Type
    Malfunction
    Date Received
    January 8, 2002
    Date of Event
    January 4, 2002
    Report Date
    January 4, 2002
    Manufacturer
    GAYMAR INDUSTRIES, INC.
    Product Code
    FNM
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    GAYMAR AIR MATTRESS BECAME OVER-INFLATED AND PINNED BEDRIDDEN PT AGAINST BED RAILS CAUSING SKIN TEAR AND BRUISING OF SIDE OF HEAD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GAYMAR AIRMATTRESS AIR MATTRESS FNM GAYMAR INDUSTRIES, INC. CL 250 *

    Patients

    Seq Age Sex Outcome Treatment
    1 102 YR Other