FDA Adverse Event
Injury
Summary report: N
ISOFLEX 35X84 DARTEX W/FB
MDR report key: 2885113
·
Received December 13, 2012
Report
- Report Number
- 1313850-2012-00372
- Event Type
- Injury
- Date Received
- December 13, 2012
- Date of Event
- November 19, 2012
- Report Date
- November 19, 2012
- Manufacturer
- STRYKER CORP DBA GAYMAR
- Product Code
- FNM
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
THE PRODUCT IS NOT BEING RETURNED TO THE MANUFACTURER FOR EVALUATION; NO PRODUCT MALFUNCTION IS ALLEGED.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE PT'S SKIN BROKE DOWN WHILE ON THE MATTRESS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ISOFLEX 35X84 DARTEX W/FB | MATTRESS | FNM | STRYKER CORP DBA GAYMAR | 2800000000 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |