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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO ISO TOUR PUMP DOM CAN; MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE

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STRYKER MEDICAL-KALAMAZOO ISO TOUR PUMP DOM CAN; MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE Back to Search Results
Catalog Number 2874000001
Medical Device Problem Code Electrical /Electronic Property Problem (1198)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
This record is a consolidation of records summarized as part of the fda voluntary malfunction summary reporting program.1 device is pending evaluation.There was no remedial action taken.This device is not labeled for single use.
 
Event or Problem Description
This report summarizes 1 malfunction event(s), where it was reported the device experienced accessible ac current.No adverse consequence or clinically relevant delay in treatment was reported.
 
Additional Manufacturer Narrative
The device that was pending evaluation was evaluated in the field and the issue was confirmed.The device was repaired on site and returned to service.Evaluation results findings (components/results).1 device: power cord/current leakage problem.
 
Event or Problem Description
No new information.
 
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Brand Name
ISO TOUR PUMP DOM CAN
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
melissa simon
3800 east centre avenue
portage, MI 49002
2693292100
MDR Report Key22608934
Report Number0001831750-2025-99234
Device Sequence Number5457460
Product Code FNM
UDI-Device Identifier07613327471427
UDI-Public7613327471427
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
Exemption NumberVMSR
Number of Events Summarized1
Summary Report (Y/N)Y
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 10/17/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Catalogue Number2874000001
Is the Reporter a Health Professional? No
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 07/01/2025
Supplement Date Received by Manufacturer07/01/2025
Initial Report FDA Received Date07/25/2025
Supplement Report FDA Received Date10/17/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
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 Number1
Patient SexUnknown
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