PREM UPAD, MAXIMUM, 24X36IN TEAL UPPM2436

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2013-08-02 for PREM UPAD, MAXIMUM, 24X36IN TEAL UPPM2436 manufactured by Beijing Beishute Maternity & Child Articles Co, Ltd.

Event Text Entries

[3889109] Reportable stage ii coccyx area increase amount of incontinence dermatitis. Additional treatment was needed for pt. The pads are too thick, not wicking and do not allow proper air flow from the low air loss beds.
Patient Sequence No: 1, Text Type: D, B5


[10937122] Sample was not received for eval and a lot number was not provided; therefore, a review of the device history record could not be performed. The product is designed to absorb fluid by dispersing fluid across the super absorbent polymer. This allows the product to absorb the liquid fast and has a small re-wet after absorption. Based upon the limited information and lack of samples we are unable to determine the root cause for the issue reported. This appears to be an isolated incident.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3006400113-2013-00001
MDR Report Key3284119
Report Source05,06
Date Received2013-08-02
Date of Report2013-08-02
Date of Event2013-04-24
Date Mfgr Received2013-07-10
Date Added to Maude2013-10-29
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactCHENG QIUJU
Manufacturer StreetBEIJING ECONONIC DEVELOPMENT AREA
Manufacturer CityBEIJING 101500
Manufacturer CountryCH
Manufacturer Postal101500
Manufacturer Phone089098323
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePREM UPAD, MAXIMUM, 24X36IN TEAL
Generic NameBEDDING, DISPOSABLE, MEDICAL
Product CodeKME
Date Received2013-08-02
Model NumberUPPM2436
Catalog NumberUPPM2436
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBEIJING BEISHUTE MATERNITY & CHILD ARTICLES CO, LTD
Manufacturer AddressBEIJING ECONONIC DEVELOPMENT AREA BEIJING 101500 CH 101500


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2013-08-02

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