FDA Adverse Event Other Summary report: N

SYMMETRIC AIRE; PENN-NYLA

MDR report key: 2357603 · Received November 22, 2011

Report

Report Number
1313850-2011-00454
Event Type
Other
Date Received
November 22, 2011
Date of Event
October 28, 2011
Report Date
October 28, 2011
Manufacturer
STRYKER CORP DBA GAYMAR
Product Code
FNM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE INITIAL COMPLAINT OF SAGGING IS NOT LIKELY TO CONTRIBUTE TO OR CAUSE SERIOUS INJURY OR DEATH, AS THE PT WOULD STILL BE SUPPORTED BY THE BOTTOM LAYER FOAM AND THE FOAM INSIDE THE AIR CELLS.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE MATTRESS WAS SAGGING. UPON EVALUATION, WHEN THE COVER WAS OPENED STAINING WAS PRESENT, WHICH SUGGESTS FLUID INGRESS OCCURRED. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYMMETRIC AIRE; PENN-NYLA MATTRESS FNM STRYKER CORP DBA GAYMAR 2750100000 NA

Patients

Seq Age Sex Outcome Treatment
1