FDA Adverse Event
Malfunction
Summary report: N
FREEDOM WAVE MATTRESS
MDR report key: 7633903
·
Received June 25, 2018
Report
- Report Number
- 7633903
- Event Type
- Malfunction
- Date Received
- June 25, 2018
- Date of Event
- May 31, 2018
- Report Date
- June 5, 2018
- Manufacturer
- FREEDOM MEDICAL, INC.
- Product Code
- FNM
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MN
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
THERAPIST ARRIVED AT PATIENT BEDSIDE TO FIND THE BED DEFLATED AND AFTER CHECKING TO SEE THAT THE BED WAS PLUGGED IN, HE UNPLUGGED IT AND REPLUGGED IT IN AND AFTER ABOUT 30 SECONDS THE MACHINE TURNED ON AND THE MATTRESS REINFLATED AFTER ABOUT 2 MINUTES. MANUFACTURER RESPONSE FOR WAVE MATTRESS MALFUNCTION, FREEDOM MEDICAL WAVE MATTRESS (PER SITE REPORTER): EVENTS ARE BEING INVESTIGATED AT THIS TIME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 478601 | FREEDOM WAVE MATTRESS | MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE | FNM | FREEDOM MEDICAL, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |