FDA Adverse Event
Malfunction
Summary report: N
ISOLIBRIUM PE SUPPORT SURFACE
MDR report key: 18676932
·
Received February 9, 2024
Report
- Report Number
- 0001831750-2024-00306
- Event Type
- Malfunction
- Date Received
- February 9, 2024
- Date of Event
- January 11, 2024
- Report Date
- June 26, 2024
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- IKZ
- UDI-DI
- 07613327523867
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
Additional Manufacturer Narrative · 0
IT WAS REPORTED THAT THE PATIENT RECEIVED MARKS ON THEIR BACK WHILE LAYING ON THE INTEGRATED MATTRESS. THE CUSTOMER DID NOT PROVIDE ANY FURTHER INFORMATION REGARDING THE NEED FOR TREATMENT. THE ORIGINAL PRODUCT WAS INCORRECTLY REPORTED. THE CORRECT PRODUCT IDENTIFICATION HAS BEEN CORRECTED IN SECTION D4.
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT RECEIVED ALLEGED SKIN ISSUES WHILE LAYING ON THE INTEGRATED MATTRESS. FURTHER INFORMATION HAS NOT BEEN PROVIDED.
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT RECEIVED MARKS ON THEIR BACK WHILE LAYING ON THE INTEGRATED MATTRESS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 577857 | ISOLIBRIUM PE SUPPORT SURFACE | BED, PATIENT ROTATION, POWERED | IKZ | STRYKER MEDICAL-KALAMAZOO | 07613327523867 | ||
| 68517 | ISOLIBRIUM PE SUPPORT SURFACE | BED, PATIENT ROTATION, POWERED | IKZ | STRYKER MEDICAL-KALAMAZOO | 07613327523867 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |