MAUDE Adverse Event Report: MOXI MOXI LAL 48X84 MATTRESS APL CONTROL UNIT; MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE

Device Problem Insufficient Information (3190)

Patient Problem Fall (1848)

Event Date 05/22/2019

Event Type  Injury  

Event Description

According to tara patient has fallen out of bed three times this morning (b)(6) 2019 since 5am.She is unable to provide any further details.This report reflects information received by fda in the form of a notification per 803.22 (b)(2).

• Brand Name: MOXI LAL 48X84 MATTRESS APL CONTROL UNIT
• Type of Device: MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE
• Manufacturer (Section D): MOXI
• MDR Report Key: 17535137
• MDR Text Key: 321150957
• Report Number: MW5142036
• Device Sequence Number: 1
• Product Code: FNM
• Combination Product (y/n): N
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Voluntary
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 06/09/2019

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: No
• Initial Date Manufacturer Received: Not provided
• Initial Date FDA Received: 08/12/2023
• Patient Sequence Number: 1
• Patient Age: 75 YR