FDA Adverse Event Summary report: N

MATTRESS COVER FOR MEDICAL PURPOSES

MDR report key: 4168454 · Received October 14, 2014

Report

Report Number
1531186-2014-04842
Date Received
October 14, 2014
Report Date
September 24, 2014
Manufacturer
UNKNOWN
Product Code
FMW
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

PER DEALER, THE MATTRESS IS RIPPED. DEALER ADVISED HAS NOT INSPECTED THE BED. NO INJURY

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
649660 MATTRESS COVER FOR MEDICAL PURPOSES 880.6190 FMW UNKNOWN 5185

Patients

Seq Age Sex Outcome Treatment
1 Other