MAUDE MDR 8126800

MDR report key
8126800
Report number
0001831750-2018-01447
Event key
0
Event type
3
Date of event
2018-11-03
Date received
2018-12-03
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
1UNKNOWN_MEDICAL_PRODUCTBED, FLOTATION THERAPY, POWEREDSTRYKER MEDICAL-KALAMAZOOIOQUNK_MEDN Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12018-12-030

Event Narratives#

D

Patient 1

IT WAS REPORTED A PATIENT'S SKIN BROKE DOWN WHILE ON THE MATTRESS.

N

Patient 1

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.

D

Patient 1

IT WAS REPORTED A PATIENT'S SKIN BROKE DOWN WHILE ON THE MATTRESS.