80 X 36 X 6 INNERSPRING MATTRESS 1633 9153647268 NA:5185 5185

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2019-05-21 for 80 X 36 X 6 INNERSPRING MATTRESS 1633 9153647268 NA:5185 5185 manufactured by Capital Bedding.

Event Text Entries

[145676671] The mattress was not returned to invacare, but a picture was received. Based on the picture provided by the reporter, the alleged issue of there being an unfinished curled spring coming out of the mattress could not be confirmed. The caller has not responded to repeated attempts to get more information concerning the injury, treatment, and the incident in general. Invacare is filing this report in an abundance of caution. Should additional information become available, a supplemental record will be filed.
Patient Sequence No: 1, Text Type: N, H10


[145676672] Invacare received the following complaint: the caregiver alleges while attempting to make the bed using a fitted sheet, her hand caught on an unfinished curled spring on the 5185 mattress. She sustained a 1? Laceration to her left palm which required sutures.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1531186-2019-00004
MDR Report Key8628833
Report SourceCOMPANY REPRESENTATIVE
Date Received2019-05-21
Date of Report2019-04-22
Report Date2019-05-21
Date Reported to Mfgr2019-05-21
Date Mfgr Received2019-04-22
Date Added to Maude2019-05-21
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 CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name80 X 36 X 6 INNERSPRING MATTRESS 1633 9153647268
Generic NameCOVER, MATTRESS (MEDICAL PURPOSES)
Product CodeFMW
Date Received2019-05-21
Model NumberNA:5185
Catalog Number5185
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCAPITAL BEDDING
Manufacturer Address5262 RAYMOND AVE VERONA MS 38879 US 38879


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-05-21

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