Brand Name | LATERAL TURN MATTRESS W/AP AND LAL, 45 DEG Z CELL 36 X 80 X 15 9153647230 |
Type of Device | MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE |
Manufacturer (Section D) |
INVACARE FLORIDA OPERATIONS |
2101 east lake mary blvd |
sanford FL 32773 |
|
Manufacturer (Section G) |
INVACARE FLORIDA OPERATIONS |
2101 east lake mary blvd |
|
sanford FL 32773 |
|
Manufacturer Contact |
kevin
guyton
|
one invacare way |
elyria, OH 44035
|
8003336900
|
|
MDR Report Key | 4934685 |
MDR Text Key | 15356019 |
Report Number | 1031452-2015-14999 |
Device Sequence Number | 1 |
Product Code |
FNM
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Consumer |
Reporter Occupation |
Patient
|
Type of Report
| Initial |
Report Date |
06/26/2015 |
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? |
Yes
|
Device Operator |
Lay User/Patient
|
Device Model Number | UNKNOWN |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
No
|
Initial Date Manufacturer Received |
06/26/2015
|
Initial Date FDA Received | 07/23/2015 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
|