COMPELLA AIR SUPPLY

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-10-02 for COMPELLA AIR SUPPLY manufactured by Hill-rom, Inc..

Event Text Entries

[122332584] A rental bed with lo-air loss pressure support mattress "were" brought into the patients room. The cord for the lo-air loss pressure mattress was pinched against the movable part of the bed frame. When the patient went to adjust the bed, the cord was compressed and caused the cord to spark and short. Manufacturer response for complella air supply, compella air supply (per site reporter): the rental manufacturer inspected the bed and verified it indeed had a crush/bruising that caused the power cord to short and spark.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7925415
MDR Report Key7925415
Date Received2018-10-02
Date of Report2018-09-26
Date of Event2018-08-19
Report Date2018-09-26
Date Reported to FDA2018-09-26
Date Reported to Mfgr2018-10-02
Date Added to Maude2018-10-02
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCOMPELLA AIR SUPPLY
Generic NameBARIATRIC BED
Product CodeOSI
Date Received2018-10-02
Returned To Mfg2018-08-20
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Age7 DA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerHILL-ROM, INC.
Manufacturer Address1069 STATE ROUTE 46 EAST BATESVILLE IN 47006 US 47006


Patients

Patient NumberTreatmentOutcomeDate
10 2018-10-02

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