FDA Adverse Event
Summary report: N
MATTRESS COVER FOR MEDICAL PURPOSES
MDR report key: 3834867
·
Received May 28, 2014
Report
- Report Number
- 1531186-2014-01982
- Date Received
- May 28, 2014
- Date of Event
- April 10, 2014
- Report Date
- April 15, 2014
- Manufacturer
- GRAND HEALTHCARE CO., LTD.
- Product Code
- FMW
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
DEALER STATED, THE MATTRESS WILL NOT INFLATE BECAUSE THE POWER UNIT WILL NOT POWER ON CAUSING THE USERS BED SORES TO GET WORSE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 313499 | MATTRESS COVER FOR MEDICAL PURPOSES | 880.6190 | FMW | GRAND HEALTHCARE CO., LTD. | CG9701 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |