FDA Adverse Event Injury Summary report: N

ISOFLEX 35X84 DARTEX S/FB

MDR report key: 2922138 · Received January 11, 2013

Report

Report Number
1313850-2013-90003
Event Type
Injury
Date Received
January 11, 2013
Date of Event
December 12, 2012
Report Date
December 13, 2012
Manufacturer
STRYKER CORP DBA GAYMAR
Product Code
FNM
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT IS NOT BEING RETURNED TO THE MFR 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
18527 ISOFLEX 35X84 DARTEX S/FB MATTRESS FNM STRYKER CORP DBA GAYMAR 2800000000 NA

Patients

Seq Age Sex Outcome Treatment
1