BEUDAMED
    FDA Adverse Event Other Summary report: N

    XPRT MATTRESS WITH PENDANT

    MDR report key: 2191986 · Received July 29, 2011

    Report

    Report Number
    1313850-2011-00178
    Event Type
    Other
    Date Received
    July 29, 2011
    Date of Event
    June 29, 2011
    Report Date
    June 29, 2011
    Manufacturer
    STRYKER CORP DBA GAYMAR
    Product Code
    FNM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THERE WAS A YELLOW DISCOLORATION ON ONE SIDE OF THE MATTRESS'S AIR CELL POCKET. THERE WAS PATIENT INVOLVEMENT, HOWEVER NO ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 XPRT MATTRESS WITH PENDANT MATTRESS FNM STRYKER CORP DBA GAYMAR 2950300000 NA

    Patients

    Seq Age Sex Outcome Treatment
    1