MAUDE MDR 7430868

MDR report key
7430868
Report number
0001831750-2018-00200
Event key
0
Event type
3
Date of event
2018-02-27
Date received
2018-04-13
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. CHANDA BURGHARD
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
1UNKNOWN_MEDICAL_PRODUCTBED, FLOTATION THERAPY, POWEREDSTRYKER MEDICAL-KALAMAZOOIOQUNK_MEDN Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12018-04-130

Event Narratives#

D

Patient 1

IT WAS REPORTED THAT THE PATIENT WAS SITTING ON THE EDGE OF THE UNIT AND SLID OFF. THERE WAS PATIENT INVOLVEMENT, HOWEVER NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED.

N

Patient 1

DURING THE COURSE OF THE INVESTIGATION IT WAS FOUND THAT THE MATTRESS IS NOT MANUFACTURED OR DISTRIBUTED BY STRYKER. DEVICE NOT MANUFACTURED BY STRYKER.

D

Patient 1

IT WAS REPORTED THAT THE PATIENT WAS SITTING ON THE EDGE OF THE UNIT AND SLID OFF. THERE WAS PATIENT INVOLVEMENT, HOWEVER NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED.