MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1993-04-27 for FLEXICAIR BED manufactured by Supports System International.
[2860]
The alleged incident happened on 3/13/93 and involved a flexicair bed. Patient was found between upper end of side rails and head of bed. Patient expired on 3/15/93. We beleive a probability may exist that the medical device may have contributed tothe deathinvalid data - regarding single use labeling of device. Patient medical status prior to event: invalid data. Invalid data - regarding multiple patient involvement. Invalid data - on device service/maintenance. No data - regarding date last serviced. Service provided by: invalid data. Invalid data - service records availability. No imminent hazard to public health claimed. Device used as labeled/intended. Device was not evaluated after the event. Method of evaluation: no data. Results of evaluation: no data. Conclusion: no data. Certainty of device as cause of or contributor to event: maybe. Corrective actions: no data. Invalid data - on device destroyed/disposed of status.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 5147 |
| MDR Report Key | 5147 |
| Date Received | 1993-04-27 |
| Date of Report | 1993-03-23 |
| Date of Event | 1993-03-13 |
| Date Facility Aware | 1993-03-13 |
| Report Date | 1993-03-23 |
| Date Reported to Mfgr | 1993-03-23 |
| Date Added to Maude | 1993-06-29 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | FLEXICAIR BED |
| Product Code | FNK |
| Date Received | 1993-04-27 |
| Model Number | FLEXICAIR BED |
| Device Availability | * |
| Implant Flag | * |
| Device Sequence No | 1 |
| Device Event Key | 4849 |
| Manufacturer | SUPPORTS SYSTEM INTERNATIONAL |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Death | 1993-04-27 |