MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO ISOAIR DOM 84 IN TYPE B PLUG; MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE

Catalog Number	2941000001
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code	Pressure Sore/Ulcer (2326)
Date of Event	10/01/2023
Type of Reportable Event	Serious Injury
Event or Problem Description
It was reported through a clinical survey that a 36-year-old, severely obese, male patient was admitted to the hospital with ¿cardiac resuscitation with rsoc (return of spontaneous circulation).¿ the patient presented with a braden score of 13 and four pressure injuries on the onset of treatment.Two stage 1, one stage 2, and one stage 3 pressure injury involving the elbow and sacral area.During the treatment period, the severity of the pressure injuries decreased, and no additional pressure injuries were observed.The patient received medication, resulting in a notable improvement in his overall physiological condition.The survey respondent indicated that there was no device malfunction and that the product was used according to its indications for use.Several comorbid conditions and medications that may impede wound healing were also noted.Given the multifactorial nature of pressure injury development, it cannot be conclusively determined that the product contributed to the patient¿s outcome.Nonetheless, this event is being reported out of an abundance of caution.No additional information was provided.Additional attempts are being made to obtain more information.
Event or Problem Description
No new information.
Additional Manufacturer Narrative
Multiple attempts have been made to gather further information, with no response received.

• Brand Name: ISOAIR DOM 84 IN TYPE B PLUG
• Common Device Name: MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE
• 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 Key: 21314559
• Report Number: 0001831750-2025-00328
• Device Sequence Number: 12973864
• Product Code: FNM
• UDI-Device Identifier: 07613327504002
• UDI-Public: 07613327504002
• Combination Product (Y/N): N
• Initial Reporter State: NJ
• Initial Reporter Country: US
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: User Facility
• Initial Reporter Occupation: Other
• Type of Report: Initial,Followup
• Report Date (Section B): 07/10/2025

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 Number: 2941000001
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Follow-Up
• Initial Date Received by Manufacturer: 01/10/2025
• Supplement Date Received by Manufacturer: 01/10/2025
• Initial Report FDA Received Date: 02/05/2025
• Supplement Report FDA Received Date: 07/10/2025
• Was Device Evaluated by Manufacturer? (Y/N): No
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Other
• Patient Sex: Unknown