FDA Adverse Event
Malfunction
Summary report: N
MATTRESS COVER FOR MEDICAL PURPOSES
MDR report key: 4092545
·
Received September 16, 2014
Report
- Report Number
- 1031452-2014-09444
- Event Type
- Malfunction
- Date Received
- September 16, 2014
- Date of Event
- August 20, 2014
- Report Date
- August 20, 2014
- Manufacturer
- INVACARE FLORIDA OPERATIONS
- Product Code
- FMW
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- ND, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
DEALER ALLEGED THAT THE MATTRESS IS NOT MAINTAINING PRESSURE IN THE CENTER AND THE FOOT SECTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 572540 | MATTRESS COVER FOR MEDICAL PURPOSES | 880.6190 | FMW | INVACARE FLORIDA OPERATIONS | BB9572000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |