MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-01-10 for UNKNOWN_MEDICAL_PRODUCT UNK_MED manufactured by Stryker Medical-kalamazoo.
[132764392]
User facility could not locate device for evaluation.
Patient Sequence No: 1, Text Type: N, H10
[132764393]
The user facility reported there were 2 areas of suspected deep tissue injury to the patient's buttocks.
Patient Sequence No: 1, Text Type: D, B5
[141906089]
Section d has been updated to indicate the device is an unknown surface. No further information was provided regarding the injury to the patient despite multiple attempts to gather more.
Patient Sequence No: 1, Text Type: N, H10
[141906090]
The user facility reported there were 2 areas of suspected deep tissue injury to the patient's buttocks.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 0001831750-2019-00004 |
| MDR Report Key | 8235236 |
| Date Received | 2019-01-10 |
| Date of Report | 2019-04-12 |
| Date of Event | 2018-12-06 |
| Date Mfgr Received | 2018-12-11 |
| Device Manufacturer Date | 2011-06-20 |
| Date Added to Maude | 2019-01-10 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. KRISTEN CANTER |
| Manufacturer Street | 3800 EAST CENTRE AVENUE |
| Manufacturer City | PORTAGE MI 49002 |
| Manufacturer Country | US |
| Manufacturer Postal | 49002 |
| Manufacturer Phone | 2693292100 |
| Manufacturer G1 | STRYKER MEDICAL-KALAMAZOO |
| Manufacturer Street | 3800 EAST CENTRE AVENUE |
| Manufacturer City | PORTAGE MI 49002 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 49002 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | UNKNOWN_MEDICAL_PRODUCT |
| Generic Name | MATTRESS, FLOTATION THERAPY, NON-POWERED |
| Product Code | IKY |
| Date Received | 2019-01-10 |
| Catalog Number | UNK_MED |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | STRYKER MEDICAL-KALAMAZOO |
| Manufacturer Address | 3800 EAST CENTRE AVENUE PORTAGE MI 49002 US 49002 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-01-10 |