FDA Adverse Event
Malfunction
Summary report: N
GAYMAR INDUSTRIES, INC.
MDR report key: 1900965
·
Received November 12, 2010
Report
- Report Number
- MW5018189
- Event Type
- Malfunction
- Date Received
- November 12, 2010
- Date of Event
- February 3, 2009
- Report Date
- February 9, 2009
- Manufacturer
- GAYMAR INDUSTRIES
- Product Code
- IKY
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MO, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
MATTRESS FROM GAYMAR HAS FAILED TO PROVIDE PRESSURE RELIEF FOR ICU PATIENTS. MATTRESSES INVOLVED: (B)(4). MATTRESSES PURCHASED IN 2005. AT LEAST 50 PTS HAVE DEVELOPED PRESSURE SORES IN ICU SINCE 2005. THE GEL MATERIAL INSIDE MATTRESS COVER HAS LOST ABILITY TO RECOVER AND DOES NOT PROVIDE PRESSURE RELIEF. DATES OF USE: 2005 - PRESENT. EVENT ABATED AFTER USE: YES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | GAYMAR INDUSTRIES, INC. | STYKER ISOFLEX | IKY | GAYMAR INDUSTRIES | 2800 | ||
| 2 | GAYMAR INDUSTRIES, INC. | STYKER ISOFLEX | IKY | GAYMAR INDUSTRIES | |||
| 3 | GAYMAR INDUSTRIES, INC. | STYKER ISOFLEX | IKY | GAYMAR INDUSTRIES | |||
| 4 | GAYMAR INDUSTRIES, INC. | STYKER ISOFLEX | IKY | GAYMAR INDUSTRIES | |||
| 5 | GAYMAR INDUSTRIES, INC. | STYKER ISOFLEX | IKY | GAYMAR INDUSTRIES | |||
| 6 | GAYMAR INDUSTRIES, INC. | STYKER ISOFLEX | IKY | GAYMAR INDUSTRIES | |||
| 7 | GAYMAR INDUSTRIES, INC. | STYKER ISOFLEX | IKY | GAYMAR INDUSTRIES | |||
| 8 | GAYMAR INDUSTRIES, INC. | STYKER ISOFLEX | IKY | GAYMAR INDUSTRIES | |||
| 9 | GAYMAR INDUSTRIES, INC. | STYKER ISOFLEX | IKY | GAYMAR INDUSTRIES |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |