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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO CMFRTGL W/B, W/FB 84X35X7 INT; MATTRESS, FLOTATION THERAPY, NON-POWERED

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STRYKER MEDICAL-KALAMAZOO CMFRTGL W/B, W/FB 84X35X7 INT; MATTRESS, FLOTATION THERAPY, NON-POWERED Back to Search Results
Catalog Number 2850000016
Device Problem Patient Device Interaction Problem (4001)
Patient Problem Pressure Sores (2326)
Event Date 08/04/2021
Event Type  Injury  
Event Description
It was reported that the hospital has had a general increase in pressure ulcers while using the mattress.The most common type of pressure ulcer (decubitus) is in the sacrum area where the gel core of the mattress is located.Further information has not been provided in regard to injury treatment or specific events.
 
Manufacturer Narrative
The customer has stated that they do not consider the surface to have malfunctioned to cause this increase in injuries and did not request any further follow up regarding this situation.No serial numbers were provided, and no product malfunctions or defects were alleged.Additionally, no specific instances or details of pressure injuries were reported in association with the product, but rather a general increase in pressure injuries.H3 other text : device not accessible for evaluation.
 
Event Description
It was reported that the hospital has had a general increase in pressure ulcers while using the mattress.The most common type of pressure ulcer (decubitus) is in the sacrum area where the gel core of the mattress is located.Further information has not been provided in regard to injury treatment or specific events.
 
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Brand Name
CMFRTGL W/B, W/FB 84X35X7 INT
Type of Device
MATTRESS, FLOTATION THERAPY, NON-POWERED
Manufacturer (Section D)
STRYKER MEDICAL-KALAMAZOO
3800 east centre avenue
portage MI 49002
Manufacturer (Section G)
STRYKER MEDICAL-KALAMAZOO
3800 east centre avenue
portage MI 49002
Manufacturer Contact
brian thompson
3800 east centre avenue
portage, MI 49002
2693292100
MDR Report Key12297287
MDR Text Key265777795
Report Number0001831750-2021-01295
Device Sequence Number1
Product Code IKY
Combination Product (y/n)N
Reporter Country CodeGM
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 11/08/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Catalogue Number2850000016
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 08/04/2021
Initial Date FDA Received08/09/2021
Supplement Dates Manufacturer Received08/04/2021
Supplement Dates FDA Received11/08/2021
Was Device Evaluated by Manufacturer? No
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Outcome(s) Other;
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