UNKNOWN_MEDICAL_PRODUCT UNK_MED

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-12-03 for UNKNOWN_MEDICAL_PRODUCT UNK_MED manufactured by Stryker Medical-kalamazoo.

Event Text Entries

[129147244] It was reported a patient's skin broke down while on the mattress.
Patient Sequence No: 1, Text Type: D, B5


[135023705] It was reported to the account manager that the account placed an ehob overlay underneath the patient, on top of the mattress, following the discovery of the injury. The patient was discharged the next day and the account did not speak of any medical treatment for the alleged injury. A review of photos of the reported injury by a stryker clinical nurse consultant, found that she believed the patient had shown discoloration in the shape of the gel that resembles reactive hyperemia. No malfunction or defect was alleged. Serial number of the unit was not recorded.
Patient Sequence No: 1, Text Type: N, H10


[135023706] It was reported a patient's skin broke down while on the mattress.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001831750-2018-01447
MDR Report Key8126800
Date Received2018-12-03
Date of Report2019-02-01
Date of Event2018-11-03
Date Mfgr Received2018-11-07
Date Added to Maude2018-12-03
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. MARY KLAVER
Manufacturer Street3800 EAST CENTRE AVENUE
Manufacturer CityPORTAGE MI 49002
Manufacturer CountryUS
Manufacturer Postal49002
Manufacturer Phone2693292100
Manufacturer G1STRYKER MEDICAL-KALAMAZOO
Manufacturer Street3800 EAST CENTRE AVENUE
Manufacturer CityPORTAGE MI 49002
Manufacturer CountryUS
Manufacturer Postal Code49002
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameUNKNOWN_MEDICAL_PRODUCT
Generic NameBED, FLOTATION THERAPY, POWERED
Product CodeIOQ
Date Received2018-12-03
Catalog NumberUNK_MED
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER MEDICAL-KALAMAZOO
Manufacturer Address3800 EAST CENTRE AVENUE PORTAGE MI 49002 US 49002


Patients

Patient NumberTreatmentOutcomeDate
10 2018-12-03

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