BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KCI ATMOS AIR

    MDR report key: 4368596 · Received December 22, 2014

    Report

    Report Number
    MW5039824
    Event Type
    Malfunction
    Date Received
    December 22, 2014
    Date of Event
    December 16, 2014
    Report Date
    December 22, 2014
    Manufacturer
    KCI
    Product Code
    INX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    AIR MATTRESS PUMP FAILED. NEWLY FORMED WOUND-SKIN DENUDED/ABRASION FOUND ON D/C. NEW WOUND ON RIGHT BUTTOCK. MATTRESS PLUGGED IN, BUT WAS NOT POWERED DUE TO LOOSE WIRE INSIDE PUMP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    843097 KCI ATMOS AIR AIR MATTRESS INX KCI

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR