BEUDAMED
    FDA Adverse Event Summary report: N

    ATMOSAIR 9000AR

    MDR report key: 695207 · Received March 30, 2006

    Report

    Report Number
    1320918-2006-00001
    Date Received
    March 30, 2006
    Date of Event
    January 31, 2006
    Report Date
    March 3, 2006
    Manufacturer
    WCW, INC.
    Product Code
    FNM
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    A PATIENT FELL OUT OF THE BED WHILE USING THE ATMOSAIR AND SUSTAINED A BROKEN ULNA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ATMOSAIR 9000AR ALTERNATING PRESSURE AIR FLOTATION MATT FNM WCW, INC. ATMOSAIR 9000AR *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention