FLUIDAIR ELITE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,user f report with the FDA on 2018-01-30 for FLUIDAIR ELITE manufactured by Arjohuntleigh, Inc..

Event Text Entries

[98747211] Please note that this product is no longer manufactured and previous medwatch reports for this product may have been submitted for the manufacturing site kinetic concept inc ((b)(4)). From november 2012 until 2014 complaints related to this product were handled by arjohuntleigh inc, and any medwatch reports were submitted under (b)(4). From 2014 and going forward complaints related to these products are to be handled by arjohuntleigh ab's complaint handling establishment and any medwatch reports will be submitted under (b)(4). Additional information will be provided upon conclusion of the investigation.
Patient Sequence No: 1, Text Type: N, H10


[98747212] It was reported to arjo that two of the staff members sustained injuries while repositioning patients on fluidair (s). There were two separate incidents involving two staff members and two beds at the same facility, on the same weekend. Second event has been registered under medwatch 3007420694-2018-00022. Since information regarding the subject (injury sustained as well as description of the event) is inaccessible at this time, we report this incident in abundance of caution.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3007420694-2018-00021
MDR Report Key7227031
Report SourceCOMPANY REPRESENTATIVE,USER F
Date Received2018-01-30
Date of Report2018-03-28
Date of Event2017-12-01
Date Mfgr Received2018-02-27
Date Added to Maude2018-01-30
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 FDA3
Event Location3
Manufacturer ContactMS. KINGA STOLINSKA
Manufacturer StreetUL. KS. WAWRZYNIAKA 2
Manufacturer CityKOMORNIKI, 62-052, P
Manufacturer CountryPL
Manufacturer Postal62-052, PL
Manufacturer G1ARJOHUNTLEIGH, INC.
Manufacturer Street4958 STOUT DRIVE
Manufacturer CitySAN ANTONIO TX 78219
Manufacturer CountryUS
Manufacturer Postal Code78219
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFLUIDAIR ELITE
Generic NameBED, AIR FLUIDIZED
Product CodeINX
Date Received2018-01-30
OperatorOTHER CAREGIVERS
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerARJOHUNTLEIGH, INC.
Manufacturer Address4958 STOUT DRIVE SAN ANTONIO TX 78219 US 78219


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-01-30

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