FDA Adverse Event Malfunction Summary report: N

I62

MDR report key: 10913839 · Received November 27, 2020

Report

Report Number
10913839
Event Type
Malfunction
Date Received
November 27, 2020
Date of Event
November 20, 2020
Report Date
November 23, 2020
Manufacturer
ASCOM (US) INC.
Product Code
IQA
Product Problem
Yes
Report Source
User Facility report
Reporter Location
FL
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

EMPLOYEE WAS IN A PATIENT'S ROOM AND THE WORK PHONE FELL ON THE GROUND. AFTER ABOUT A MINUTE OF IT BEING ON THE GROUND THERE WAS A LOUD "FIRECRACKER SOUND" AND THE PHONE STARTED SMOKING. SHE KICKED THE PHONE OUT INTO THE HALLWAY AND ANOTHER EMPLOYEE GRABBED A FIRE EXTINGUISHER AND SPRAYED THE PHONE. A THIRD EMPLOYEE CALLED 1212 "FIRE" CODE. THE PHONE STOPPED SMOKING AFTER USING THE FIRE EXTINGUISHER. SECURITY RESPONDED TO THE CODE. THE EMPLOYEES UTILIZED RACE (RESCUE, ALARM, CONFINE, EXTINGUISH/EVACUATE) AND PASS (PULL, AIM, SQUEEZE, SWEEP) PROTOCOL AS WELL AS COMMUNICATED WITH SECURITY, NURSE SUPERVISOR, FACILITIES AND THE FIRE DEPARTMENT. MIS (MEDICAL INFORMATION SYSTEM) PICKED UP BURNT PHONE TO BE INVESTIGATED. NO INJURY TO PATIENTS, OR EMPLOYEES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1378166 I62 SYSTEM, ENVIRONMENTAL CONTROL, POWERED IQA ASCOM (US) INC. I62 WHI-AADA

Patients

Seq Age Sex Outcome Treatment
1