FDA Adverse Event Other Summary report: N

ISOFLEX 35X84 DARTEX W/FB

MDR report key: 2395313 · Received December 21, 2011

Report

Report Number
1313850-2011-00485
Event Type
Other
Date Received
December 21, 2011
Date of Event
October 25, 2011
Report Date
November 4, 2011
Manufacturer
STRYKER CORP DBA GAYMAR
Product Code
FNM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

CONCLUSION: CUSTOMER WAS INFORMED THAT THE FOAM OR ENTIRE MATTRESS SHOULD BE REPLACED.

Description of Event or Problem · 1

IT WAS REPORTED THAT FLUID HAD INGRESSED INTO THE MATTRESS. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ISOFLEX 35X84 DARTEX W/FB MATTRESS FNM STRYKER CORP DBA GAYMAR 2800100000 NA

Patients

Seq Age Sex Outcome Treatment
1