MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-04-26 for HOVER MATT HM34HS manufactured by Hover Intl.
[3164931]
Pt fell while being transferred from a hospital bed to a transport stretcher using a hover matt mattress. During transfer, the pt restraining straps tore away from the mattress. The employees inflated the hover mattress and laterally transferred the pt from the bed to the stretcher. The hover matt straps were intact and secured during the transfer. Once the pt was on the stretcher, one of the employees attempted to raise the outside side rail while the hover mattress was still inflated. The stretcher moved slightly and the hover mattress slid off the stretcher. One of the employees grabbed the upper strap to prevent the hover mattress and pt from falling. The right upper strap was pulled off when the employee grabbed it. The strap did not rip apart from the mattress, the threads were torn. Mattress serial number (b)(4); model number hm34hs.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5030000 |
| MDR Report Key | 3088868 |
| Date Received | 2013-04-26 |
| Date of Report | 2013-04-26 |
| Date Added to Maude | 2013-05-03 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | HOVER MATT |
| Generic Name | HOVER MATT |
| Product Code | FRZ |
| Date Received | 2013-04-26 |
| Model Number | HM34HS |
| Lot Number | 410240 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | HOVER INTL |
| Manufacturer Address | 513 S CLEWELL ST BETHLEHEM PA 18014 US 18014 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2013-04-26 |