FDA Adverse Event Injury Summary report: N

CARDIAC CHAIR

MDR report key: 1130 · Received August 18, 1992

Report

Report Number
1130
Event Type
Injury
Date Received
August 18, 1992
Date of Event
May 2, 1992
Report Date
July 28, 1992
Manufacturer
TEMPCO
Product Code
BYN
Adverse Event
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

NURSING ASSISTANT WAS MOVING TABLE ATTACHED TO CARDIAC CHAIR. 5TH DIGIT, LEFT HAND ENTERED SMALL OPOENING BETWEEN TABLE AND CHAIR-RAIL, FINGER LACERATED REQUIRING (6) SIX SUTURESDEVICE NOT LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: SATISFACTORY CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: ACTUAL DEVICE INVOLVED IN INCIDENT WAS EVALUATED, OTHER, OTHER, INVALID DATA. RESULTS OF EVALUATION: DESIGN - HUMAN FACTORS. CONCLUSION: USER ERROR CAUSED EVENT. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: UNKNOWN (CANNOT DETERMINE). CORRECTIVE ACTIONS: DEVICE PERMANENTLY REMOVED FROM SERVICE, OTHER. THE DEVICE WAS DESTROYED/DISPOSED OF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CARDIAC CHAIR BYN TEMPCO

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention