FDA Adverse Event
Malfunction
Summary report: N
XPRT MATTRESS W/O PENDANT
MDR report key: 3911929
·
Received July 3, 2014
Report
- Report Number
- 0001831750-2014-03130
- Event Type
- Malfunction
- Date Received
- July 3, 2014
- Date of Event
- June 9, 2014
- Report Date
- June 9, 2014
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- IKZ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC, 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 A TORN BOTTOM COVER. 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 |
|---|---|---|---|---|---|---|---|
| 390294 | XPRT MATTRESS W/O PENDANT | BED, PATIENT ROTATION, POWERED | IKZ | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |