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 |