FDA Adverse Event Injury Summary report: N

COMFRTGL,W/BX,W/FB80X35X7,INTL

MDR report key: 8361286 · Received February 22, 2019

Report

Report Number
0001831750-2019-00272
Event Type
Injury
Date Received
February 22, 2019
Date of Event
February 11, 2019
Report Date
May 21, 2019
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
IKY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

IT WAS REPORTED THAT WITHIN A FEW HOURS, THERE WAS A DECUBITUS ULCER DEVELOPMENT ON THE HEEL AND ANKLE OF A PATIENT. THE PATIENT WAS ALLEGED TO BE ON THE SURFACE FOR 6 DAYS AND WAS TURNED TO APPROXIMATELY 12 POSITIONS WITHIN 24 HOURS. THE PATIENT WAS ALLEGED NOT TO HAVE ANY PRE-EXISTING CONDITIONS THAT WOULD HAVE CAUSED OR CONTRIBUTED TO THE INJURY. THE PATIENT WAS GIVEN A SCORE OF 13 ON THE NORTON SCALE. IT WAS NOTED THAT A SCORE OF 25 AND LOWER INDICATES A PRESSURE ULCER RISK. THE PATIENT WAS DIAGNOSED WITH A DECUBITUS STAGE 1 ULCER SHOWING NON-IRRITABLE REDNESS OF THE SKIN AND WAS TREATED WITH MIPILEX BORDER (OVER THE COUNTER FOAM DRESSING) FOR SKIN PROTECTION. THERE WERE NO DEFECTS ALLEGED WITH THE MATTRESS. IT IS UNKNOWN IF THE PRODUCT MET SPECIFICATIONS AS THE PRODUCT WAS NOT EVALUATED BY A STRYKER REPRESENTATIVE. HOWEVER, WITH THE ALLEGED CONDITION THE PRODUCT WOULD MEET SPECIFICATIONS AS THERE WERE NO DEFECTS ALLEGED WITH THE PRODUCT. AFTER INVESTIGATION, THE CAUSE FOR THE STAGE 1 PRESSURE INJURY WAS FOUND TO NOT LIKELY BE RELATED TO A DEFECT WITH THE PRODUCT. THE PATIENT'S LOW NORTON SCORE MAY HAVE ATTRIBUTED TO THE DETERIORATION OF THE PATIENT'S SKIN. NO DEVICE PROBLEM ALLEGED.

Description of Event or Problem · 1

IT WAS REPORTED THAT WITHIN A FEW HOURS, THERE WAS A DECUBITUS ULCER DEVELOPMENT ON THE HEEL AND ANKLE OF A PATIENT. FURTHER INFORMATION IS NOT AVAILABLE AT THIS TIME.

Description of Event or Problem · 1

IT WAS REPORTED THAT WITHIN A FEW HOURS, THERE WAS A DECUBITUS ULCER DEVELOPMENT ON THE HEEL AND ANKLE OF A PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
154923 COMFRTGL,W/BX,W/FB80X35X7,INTL MATTRESS, FLOTATION THERAPY, NON-POWERED IKY STRYKER MEDICAL-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1