BEUDAMED
    FDA Adverse Event Other Summary report: N

    KCI KINAIR MED SURG PULSE BED -KCI MATTRESS ON A

    MDR report key: 789729 · Received December 2, 2006

    Report

    Report Number
    MW1041240
    Event Type
    Other
    Date Received
    December 2, 2006
    Date of Event
    October 19, 2006
    Report Date
    December 2, 2006
    Manufacturer
    KCI USA, INC
    Product Code
    INX
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PATIENT WAS ON A LOW AIR LOSS BED AND MIGRATED TO THE RIGHT SIDE OF THE BED. THE PATIENT'S RIGHT ARM BECAME ENTRAPPED BETWEEN THE MATTRESS AND SIDE RAIL. THE BED WAS DEFLATED TO FREE THE PATIENT'S ARM. THE PATIENT WAS REMOVED FROM THE BED. NOTE: THE BED WAS NOT SEQUESTERED, THUS I AM UNABLE TO PROVIDE THE SERIAL NUMBER FOR THE SPECIFIC BED INVOLVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KCI KINAIR MED SURG PULSE BED -KCI MATTRESS ON A KIN AIR BED INX KCI USA, INC 40030 *

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR Other