FDA Adverse Event Injury Summary report: N

C2500MS & M2500-39 LALAPM

MDR report key: 3005099 · Received March 14, 2013

Report

Report Number
0001831750-2013-02030
Event Type
Injury
Date Received
March 14, 2013
Date of Event
February 11, 2013
Report Date
February 14, 2013
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
IOQ
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SUPPLEMENTAL SUBMITTED TO INDICATE THAT THE ACCOUNT DID NOT IDENTIFY THE UNIT INVOLVED IN THE ALLEGED INCIDENT, AND THEREFORE, THE UNIT WAS NOT EVALUATED BY THE MANUFACTURER. IT WAS CONFIRMED WITH THE ACCOUNT THAT NO ADDITIONAL INFORMATION WAS AVAILABLE AND THAT NOTHING WAS NEEDED FROM THE MANUFACTURER. UNIT WAS NOT IDENTIFIED OR MADE AVAILABLE FOR EVALUATION.

Description of Event or Problem · 1

IT WAS REPORTED BY THE CUSTOMER THAT THE MATTRESS WAS LOOSING AIR AND A PATIENT ALLEGEDLY INCURRED RED SPOTS ON THEIR BUTTOCKS AREA. THE CUSTOMER ALLEGED THAT THE PATIENT REQUIRED MEDICAL INTERVENTION.

Description of Event or Problem · 1

IT WAS REPORTED BY THE CUSTOMER THAT THE MATTRESS WAS LOOSING AIR AND A PATIENT ALLEGEDLY INCURRED RED SPOTS ON THEIR BUTTOCKS AREA. THE CUSTOMER ALLEGED THAT THE PATIENT REQUIRED MEDICAL INTERVENTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
107835 C2500MS & M2500-39 LALAPM BED, FLOTATION THERAPY, POWERED IOQ STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 Other