FDA Adverse Event Malfunction Summary report: N

NA

MDR report key: 3041410 · Received April 8, 2013

Report

Report Number
0002090040-2013-00007
Event Type
Malfunction
Date Received
April 8, 2013
Date of Event
March 8, 2013
Report Date
March 11, 2013
Manufacturer
STRYKER SUSTAINABILITY SOLUTIONS PHOENIX
Product Code
JOW
PMA / PMN Number
K090308
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE COMPLAINT DEVICE WAS NOT RETURNED TO STRYKER SUSTAINABILITY SOLUTIONS (SSS) FOR AN EVALUATION. PACKAGING INFORMATION WAS NOT PROVIDED EITHER SO MANUFACTURE DATE AND LOT NUMBER WERE NOT AVAILABLE. THE INSTRUCTIONS FOR USE (IFU) FOR RCG10 CALF GARMENTS STATES: "GARMENTS SHOULD BE REMOVED REGULARLY TO INSPECT THE SKIN." "GARMENTS SHOULD BE REMOVED IMMEDIATELY IF THE PATIENT EXPERIENCES ANY UNEXPLAINED SENSATIONS, NUMBNESS, OR PAIN." THE RESTEP SYSTEM SHOULD NOT BE USED IN THE FOLLOWING CONDITIONS: "LOCAL SKIN OR TISSUE CONDITIONS IN WHICH THE GARMENTS WOULD INTERFERE." A CONCLUSIVE ROOT CAUSE COULD NOT BE DETERMINED AS THE DEVICE WAS NOT RECEIVED FOR EVALUATION. HOWEVER, IT IS POSSIBLE THAT THE MATTRESS, WHEELCHAIR/CUSHION, AND TURNING TECHNIQUES COULD HAVE ATTRIBUTED OR AIDED IN THE REPORTED ISSUE AS WELL. IF THE ULCER SEEMS TO BE CAUSED BY FRICTION, A PROTECTIVE TRANSPARENT DRESSING SUCH AS OP-SITE OR TEGADERM MAY HELP PROTECT THE AREA BY ALLOWING THE SKIN TO SLIDE EASILY. THIS IS THE FIRST REPORT OF THIS TYPE THAT SSS HAS RECEIVED. DEVICE NOT RETURNED FOR EVALUATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT, "A RESTEP DVT SLEEVE CAUSED A PRESSURE ULCER."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
143678 NA JOW JOW STRYKER SUSTAINABILITY SOLUTIONS PHOENIX RCG10 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1