FDA Adverse Event Summary report: N

MATTRESS COVER FOR MEDICAL PURPOSES

MDR report key: 4166112 · Received October 13, 2014

Report

Report Number
1531186-2014-04841
Date Received
October 13, 2014
Report Date
September 24, 2014
Manufacturer
UNKNOWN
Product Code
FMW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

THE END-USER STATES HIS MOM BOUGHT THE BED A FEW YEARS AGO. HE ALLEGES THE MATTRESS MAY HAVE BEEN PREVIOUSLY USED OR THEY RECEIVED A DEFECTIVE MATTRESS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
646003 MATTRESS COVER FOR MEDICAL PURPOSES 880.6190 FMW UNKNOWN 5185

Patients

Seq Age Sex Outcome Treatment
1 Other