| 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 |
|
melissa
simon
|
| 3800 east centre avenue |
| portage, MI 49002
|
|
2693292100
|
|
| MDR Report Key | 24705756 |
| Report Number | 0001831750-2026-00024 |
| Device Sequence Number | 10557380 |
| Product Code |
FNM
|
| UDI-Device Identifier | 07613327504002 |
| UDI-Public | 07613327504002 |
| Combination Product (Y/N) | N |
| Initial Reporter State | IL |
| 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) |
05/18/2026 |
| 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? |
Yes
|
| 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 | 03/23/2026 |
| Supplement Date Received by Manufacturer | 03/23/2026
|
| Initial Report FDA Received Date | 03/26/2026 |
| Supplement Report FDA Received Date | 05/18/2026
|
| 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 |
|
|