SLEEPSAFE SLEEPSAFER SR-MP-MG-T

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor report with the FDA on 2019-01-09 for SLEEPSAFE SLEEPSAFER SR-MP-MG-T manufactured by Sleepsafe Beds.

Event Text Entries

[132565608] Dme technician calls and alleges the user sustained a finger injury. The user caught their finger(s) between the back panel gap. Dme technician advised that the pins that secure panel-to-panel were not installed. Without the dowel pins, the panels can be flexed apart opening a pinch point. The bed was assembled in the home (b)(6) 2017. Technician advised there are no work order notes or other documentation that explain why the pins were not installed. Presumably they were omitted on initial install or possible subsequent move. We are overnighting pins for the technician to install. For preventive action, we will pre-install the pins before we ship.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3008061384-2018-00001
MDR Report Key8232172
Report SourceDISTRIBUTOR
Date Received2019-01-09
Date of Report2019-01-08
Date Mfgr Received2018-12-10
Device Manufacturer Date2017-12-01
Date Added to Maude2019-01-09
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 ContactMR. ROBERT BALDACCI
Manufacturer Street3629 REED CREEK DRIVE
Manufacturer CityBASSETT VA 24055
Manufacturer CountryUS
Manufacturer Postal24055
Manufacturer Phone8668522337
Manufacturer G1SAME
Manufacturer StreetSAME
Manufacturer CitySAME VA 24055
Manufacturer CountryUS
Manufacturer Postal Code24055
Single Use3
Remedial ActionRP
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSLEEPSAFE
Generic NameSAFETY BED
Product CodeFNJ
Date Received2019-01-09
Model NumberSLEEPSAFER
Catalog NumberSR-MP-MG-T
Lot Number26068
Device AvailabilityY
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSLEEPSAFE BEDS
Manufacturer Address3629 REED CREEK DRIVE BASSETT VA 24055 US 24055


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-01-09

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