FDA Adverse Event Injury Summary report: N

XPRT SLEEP SURFACE

MDR report key: 3182972 · Received June 21, 2013

Report

Report Number
0001831750-2013-05685
Event Type
Injury
Date Received
June 21, 2013
Date of Event
November 15, 2012
Report Date
November 15, 2012
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
IKZ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CONCLUSION - MANUFACTURERS INVESTIGATION IS STILL ONGOING; IF ADDITIONAL INFORMATION IS RECEIVED, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 1

FOLLOW-UP SUBMITTED AS AN INSPECTION WAS NOT ABLE TO BE PERFORMED FOR THIS ISSUE. THE CUSTOMER COULD NOT IDENTIFY THE MATTRESS OR MAKE IT AVAILABLE FOR EVALUATION BY A STRYKER TECHNICIAN. ISSUE RESOLVED BY VERIFYING THE CUSTOMER DID NOT NEED ANY FURTHER ACTION ON THIS ISSUE. MATTRESS NOT IDENTIFIED OR MADE AVAILABLE FOR EVALUATION BY A STRYKER TECHNICIAN.

Description of Event or Problem · 1

IT WAS REPORTED BY THE USER FACILITY THAT THE PATIENT'S SKIN BROKE DOWN WHILE ON THE MATTRESS.

Description of Event or Problem · 1

IT WAS REPORTED BY THE USER FACILITY THAT THE PATIENT'S SKIN BROKE DOWN WHILE ON THE MATTRESS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
283119 XPRT SLEEP SURFACE BED, PATIENT ROTATION, POWERED IKZ STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1