FDA Adverse Event
Malfunction
Summary report: N
XPRT SLEEP SURFACE
MDR report key: 3043519
·
Received April 9, 2013
Report
- Report Number
- 0001831750-2013-03040
- Event Type
- Malfunction
- Date Received
- April 9, 2013
- Date of Event
- March 15, 2013
- Report Date
- March 15, 2013
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- FMW
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
MATTRESS COVER WAS REPLACED.
Description of Event or Problem · 1
IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE MATTRESS HAD FLUID INTRUSION DUE TO PEELING AND DELAMINATION. NO PATIENT WAS AFFECTED AND NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 146354 | XPRT SLEEP SURFACE | COVER, MATTRESS (MEDICAL PURPOSES) | FMW | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |