MAUDE MDR 6956460

MDR report key
6956460
Report number
0001831750-2017-00456
Event key
0
Event type
3
Date of event
2017-09-21
Date received
2017-10-17
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR. MARY KLAVER
Address
3800 EAST CENTRE AVENUE PORTAGE MI 49002 US
Phone
269-269-2693
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ISOFLEX LAL 2860BED, FLOTATION THERAPY, POWEREDSTRYKER MEDICAL-KALAMAZOOIOQ2860000000Y Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12017-10-170

Event Narratives#

N

Patient 1

THE MATTRESS IS BEING RETURNED TO STRYKER FOR EVALUATION. THE CUSTOMER WILL RECEIVE A REPLACEMENT UNIT.

D

Patient 1

IT WAS REPORTED THE CUSTOMER DEVELOPED A HOSPITAL ACQUIRED PRESSURE INJURY WHILE ON THE MATTRESS.

N

Patient 1

THE UNIT WAS RETURNED TO STRYKER. UPON RETURN, THE UNIT WAS EVALUATED BY A STRYKER QUALITY ASSURANCE ENGINEER. NO DEFECTS WERE FOUND UPON EVALUATION. FURTHER CONVERSATION WITH THE CUSTOMER FOUND THAT THE PATIENT WAS A (B)(6) WOMAN WHO WAS ADMITTED FOR A WHIPPLE PROCEDURE DUE TO PANCREATIC ADENOCARCINOMA. SHE ALSO REPORTEDLY HAD DIABETES WHICH WAS "UNDER CONTROL" AND WAS A NONSMOKER. THE CUSTOMER STATED THAT THEY REPOSITIONED THE PATIENT EVERY TWO HOURS WHEN SHE ALLOWED, HOWEVER THE PATIENT DID REFUSE REPOSITIONING AT TIMES. THE CUSTOMER CLASSIFIED THE INJURY AS A STAGE 2 PRESSURE INJURY. THE ISSUE WAS RESOLVED FOR THE CUSTOMER BY STRYKER CLINICAL NURSE CONSULTING DISCUSSING PROPER PRESSURE INJURY MANAGEMENT TECHNIQUES WITH THE CUSTOMER.

D

Patient 1

IT WAS REPORTED THE CUSTOMER DEVELOPED A HOSPITAL ACQUIRED PRESSURE INJURY WHILE ON THE MATTRESS.