FDA Adverse Event Summary report: N

MATTRESS COVER FOR MEDICAL PURPOSES

MDR report key: 4166091 · Received October 13, 2014

Report

Report Number
1531186-2014-04840
Date Received
October 13, 2014
Report Date
September 24, 2014
Manufacturer
UNKNOWN
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

PER PROVIDER, THE MATTRESS ARRIVED TORN OPEN, NO FREIGHT DAMAGE VISABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
645986 MATTRESS COVER FOR MEDICAL PURPOSES 880.6190 FMW UNKNOWN 5185

Patients

Seq Age Sex Outcome Treatment
1 Other