FDA Adverse Event Injury Summary report: N

KINAIR III

MDR report key: 518446 · Received March 16, 2004

Report

Report Number
MW1031552
Event Type
Injury
Date Received
March 16, 2004
Date of Event
January 17, 2004
Report Date
March 8, 2004
Manufacturer
KINETIC CONCEPTS INC.
Product Code
IOQ
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
MN, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

OCCURRENCE: ENTRAPMENT. ROUND NURSE HEARD PT CALL OUT FOR HELP. FOUND PT CAUGHT BETWEEN KINAIR III BED SIDERAILS AND THE MATTRESS. ONLY PT'S FEET WERE ON THE FLOOR. PT WAS HELPED DOWN TO THE FLOOR WITH THE ASSISTANCE OF OTHER STAFF. ONLY INJURY WAS MINOR ABRASION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KINAIR III AIR-FLOTATION, LOW AIR ALOSS SUPPORT SYSTEM IOQ KINETIC CONCEPTS INC. 0556968 *

Patients

Seq Age Sex Outcome Treatment
1 62 YR