FDA Adverse Event Injury Summary report: N

XPRT MATTRESS W/O PENDANT

MDR report key: 3746081 · Received April 11, 2014

Report

Report Number
0001831750-2014-02879
Event Type
Injury
Date Received
April 11, 2014
Date of Event
March 18, 2014
Report Date
March 18, 2014
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
IKZ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CONCLUSION - THE ALLEGED PRODUCT DEFECT REPORTED DID NOT CONTRIBUTE TO THE REPORTED INJURY. ALL SECONDARY SUPPORT FUNCTIONS WERE WORKING CORRECTLY. HOWEVER, A CELL AT THE FOOT SECTION OF BED WAS NOT HOLDING AIR PROPERLY SO THIS ASSEMBLY WAS REPLACED. THE ISSUE REGARDING SAGGING IS A NON-REPORTABLE. THIS WILL RESULT IN AN ANNOYANCE ONLY ISSUE. PATIENT WOULD BE SUPPORTED BY SECONDARY CELLS.

Description of Event or Problem · 1

IT WAS REPORTED VIA REPAIR WORK ORDER THAT ALLEGEDLY THE PATIENT HAD SKIN BREAK DOWN. THERE WAS PATIENT INVOLVEMENT; HOWEVER, NO CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
220615 XPRT MATTRESS W/O PENDANT BED, PATIENT ROTATION, POWERED IKZ STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1