BEUDAMED
    FDA Adverse Event Other Summary report: N

    AIR PRO PLUS

    MDR report key: 530774 · Received May 26, 2004

    Report

    Report Number
    530774
    Event Type
    Other
    Date Received
    May 26, 2004
    Date of Event
    May 14, 2004
    Report Date
    May 21, 2004
    Manufacturer
    BLUE CHIP MEDICAL PRODUCTS, INC.
    Product Code
    IOQ
    Report Source
    User Facility report
    Reporter Location
    VA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT LACERATED HEAD THROUGH CONTACT WITH UNCOVERED SHARP METAL ENDS OF HOOK THAT SECURES PUMP TO PT BED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AIR PRO PLUS ALTERNATING AIR FLOATATION THERAPY PUMP IOQ BLUE CHIP MEDICAL PRODUCTS, INC. 4200 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other