FDA Adverse Event
Malfunction
Summary report: N
XPRT MATTRESS WITH PENDANT
MDR report key: 3817388
·
Received May 19, 2014
Report
- Report Number
- 0001831750-2014-02988
- Event Type
- Malfunction
- Date Received
- May 19, 2014
- Date of Event
- April 30, 2014
- Report Date
- April 30, 2014
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- IKZ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE FOAM CRIB ASSEMBLY WAS DISCOLORED AND HAD FLUID INTRUSION. 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 |
|---|---|---|---|---|---|---|---|
| 297569 | XPRT MATTRESS WITH PENDANT | BED, PATIENT ROTATION, POWERED | IKZ | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |