BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RECOVERAIRE

    MDR report key: 3811805 · Received May 9, 2014

    Report

    Report Number
    MW5036076
    Event Type
    Malfunction
    Date Received
    May 9, 2014
    Date of Event
    April 28, 2014
    Report Date
    May 8, 2014
    Manufacturer
    RECOVERCARE
    Product Code
    IOQ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    WHILE PROVIDING CARE TO THE PATIENT, IT WAS NOTICED THAT THE BED TUBING HAD BECOME PULLED TIGHT IN THE SIDE RAIL CAUSING THE WIRES TO FRAY LEADING TO SPARKS COMING FROM THE LOWER END OF THE BED. FIRE ALARM PULL STATION WAS PULLED. 9-1-1 WAS CALLED AND THE FIRE DEPARTMENT ARRIVED. NO INJURY TO PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    281371 RECOVERAIRE LOW AIR LOSS SPECIALTY MATTRESS IOQ RECOVERCARE VCEOTE (3000 ELITE)

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR