MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO POSITIONPRO W/O PENDANT; MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE

Catalog Number	2920500000
Health Effect - Clinical Code	No Consequences Or Impact To Patient (2199)
Date of Event	04/27/2018
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported the power cord had bent power prongs.No patient was affected and no adverse consequence or clinically relevant delay in treatment was reported.

• Brand Name: POSITIONPRO W/O PENDANT
• Common Device Name: MATTRESS, AIR FLOTATION, ALTERNATING PRESSURE
• Manufacturer (Section D): STRYKER MEDICAL-KALAMAZOO; 3800 east centre avenue; portage MI 49002
• MDR Report Key: 7537326
• Report Number: 0001831750-2018-00496
• Device Sequence Number: 178072
• Product Code: FNM
• UDI-Device Identifier: 07613327277746
• UDI-Public: 07613327277746
• Combination Product (Y/N): N
• Initial Reporter State: NY
• 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
• Report Date (Section B): 05/23/2018

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
• Operator of Device: No Information
• Device Catalogue Number: 2920500000
• Was Device Available for Evaluation?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 04/27/2018
• Initial Report FDA Received Date: 05/23/2018
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1