FDA.reportPublic FDA data

MAUDE MDR 6791312

MDR report key
6791312
Report number
MW5071528
Event key
0
Event type
3
Date of event
2017-06-30
Date received
2017-08-10
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
306
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
P
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1HOVERMATTHOVERMATTHOVERTECH/ D.T. DAVIS ENTERPRISE LTD.FRZI Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12017-08-1001. H; 2. L; 3. O; 4. R; 5. S

Event Narratives#

D

Patient 1

MY (B)(6) FATHER WHO IS A WWII DISABLED VETERAN WAS SEVERELY INJURED DURING A NORMAL DAY SURGERY AT (B)(6) HOSPITAL BY HOSPITAL STAFF NOT KNOWING THE CORRECT WAY TO USE A PRODUCT CALLED THE HOVERMATTE AND THE HARM WAS INTENSIFIED BECAUSE OF A FAULTY IV. THE HOSPITALIST AND INTERNAL MEDICINE DOCTORS I BELIEVE AT THIS HOSPITAL ARE QUITE GOOD AT CREATING ALMOST A 3 STOOGES ACT TO COVER UP THEIR NEGLIGENCE. I WILL ATTACH PICTURES AND THE LETTER SENT TO THE JOINT COMMISSION ON MY COMPLAINTS. THEY COVERED THEIR BASES BY MASKING THE PLACES THAT WERE EITHER BRUISES OR BURNS BY ALLOWING NURSES TO USE TOPICAL CREAMS FOR ONE DIAGNOSIS WHEN I BELIEVE THEY KNEW WHAT HAPPENED AND WERE COVERING IT UP.