FDA Adverse Event Malfunction Summary report: N

PRESS PEDIC PRE NYL 35X80

MDR report key: 2111363 · Received May 18, 2011

Report

Report Number
1313850-2011-00112
Event Type
Malfunction
Date Received
May 18, 2011
Date of Event
April 20, 2011
Report Date
April 20, 2011
Manufacturer
STRYKER CORP DBA GAYMAR
Product Code
FMW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CONCLUSION: MATTRESS WAS DISCARDED, AND COVERS MAY BE REPLACED UNDER WARRANTY BASED ON INVESTIGATION RESULTS.

Description of Event or Problem · 1

IT WAS REPORTED THAT URINE INGRESSED THROUGH THE TOP AND BOTTOM COVERS TO THE MATTRESS. THERE WAS PT INVOLVEMENT, HOWEVER NO ADVERSE CONSEQUENCES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PRESS PEDIC PRE NYL 35X80 MATTRESS COVER FMW STRYKER CORP DBA GAYMAR PRN3580 NA

Patients

Seq Age Sex Outcome Treatment
1