MalfunctionFMP
GEL-E DONUT - MEDIUM
Received Sep 24, 2014
Report 1218950-2014-07317 · MDR key 4309761
Device
Generic name
Protector, Skin Pressure
Manufacturer
Philips Respironics - ChmvModel number
92025-CLot number
USE BY DATE 2015/06/06
Product problems
- Device Contamination with Chemical or Other Material
Patient
Not reported
- No Known Impact Or Consequence To Patient
Narrative
Additional Manufacturer Narrative
(B)(4). A FOLLOW UP REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETE.
Description of Event or Problem
THE CUSTOMER REPORTED THERE IS A MOLD ON THE DONUT. THERE WAS NO REPORTED PT INCIDENT/INJURY.