MAUDE Adverse Event Report: CAREMED SUPPLY INC. MICROAIR MA900B42; MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE,

Model Number	MA900M42
Medical Device Problem Code	Collapse (1099)
Health Effect - Clinical Code	Bone Fracture(s) (1870)
Date of Event	02/17/2026
Type of Reportable Event	Serious Injury
Event or Problem Description
On (b)(6) 2026 the dealer stated the patient fell off the ma900m42 micro air mattress system because the two outside cells were deflated due to an internal broken hose.The patient suffered a dislocated shoulder and a broken rib.The patient is 74" tall and weighs 289 lbs.Which is within the product weight capacity of 1000 lbs.The dealer mentioned he thinks someone sat on the edge of the mattress and that's when the hose broke.
Additional Manufacturer Narrative
The mattress system was 1 year 3 months old at the time of this event.The dealer indicated someone sat on the edge of the mattress and broke the hose causing the mattress to deflate.Photos were provided confiming the hoses were broken.The mattress system is intended for one patient that needs continual lateral rotation therapy.There is no indication of a device malfunction and the occurrence was likely caused by use error.A replacement order was placed for the mattress.At this time a return is not anticipated.If additional information should become available, updates will be made accordingly.

• Brand Name: MICROAIR MA900B42
• Common Device Name: MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE,
• Manufacturer (Section D): CAREMED SUPPLY INC.; no. 18 & 29, xin rd.,; wujie township, yilan county ilan 268 ; TW 268
• MDR Report Key: 24470673
• Report Number: 1531186-2026-00003
• Device Sequence Number: 18537204
• Product Code: FNM
• UDI-Device Identifier: 00841447103240
• UDI-Public: 00841447103240
• Combination Product (Y/N): N
• Initial Reporter State: NY
• Initial Reporter Country: US
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Importer
• Initial Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial
• Report Date (Section B): 02/27/2026
• Report Date (Section F): 02/27/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Operator of Device: Lay User/Patient
• Device Model Number: MA900M42
• Device Catalogue Number: MA900M42
• Was Device Available for Evaluation?: No
• Was the Report Sent to FDA?: Yes
• Distributor Facility Aware Date: 02/17/2026
• Device Age: 1 YR
• Event Location: Other
• Date Report to Manufacturer: 02/27/2026
• Initial Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 02/27/2026
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Other
• Patient Sex: Unknown
• Patient Weight: 131 KG
• Date Report Sent to FDA: 02/27/2026