FDA Adverse Event Injury Summary report: N

ROHO HIGH PROFILE SINGLE COMPARTMENT CUSHION

MDR report key: 12624391 · Received October 13, 2021

Report

Report Number
3008630266-2021-00013
Event Type
Injury
Date Received
October 13, 2021
Report Date
October 13, 2021
Manufacturer
ROHO, INC.
Product Code
KIC
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE END USER ALLEGED THAT THE YELLOW ROPE ATTACHED TO THE LEFT FRONT CORNER GROMMET OF THE CUSHION CAUSED A PRESSURE INJURY THAT WILL REQUIRE SURGERY. ROHO, INC. HAS NOT SEEN MEDICAL RECORDS TO CONFIRM THIS. THE CUSHION WAS NOT RETURNED TO ROHO, INC. AS IT WAS CONFIRMED BY THE ATP THAT THE ENDUSER CONTINUED TO USE THE CUSHION BECAUSE IT WAS WORKING CORRECTLY WITH NO MALFUNCTION. THE YELLOW ROPE ATTACHED TO THE CUSHION IS A BRANDING / MARKETING TOOL AND DOES NOT AID IN THE PROPER FUNCTIONING OF THE CUSHION. AN INTERNAL INVESTIGATION WAS CONDUCTED USING THE SAME MODEL NUMBER CUSHION AND FOUND THAT THE YELLOW ROPE COULD ONLY POTENTIALLY COME INTO CONTACT WITH THE 4 CELLS LOCATED IN THE FRONT LEFT CORNER OF THE CUSHION. THE YELLOW ROPE IS INTENDED TO HANG DOWN FROM THE CUSHION AND THE PROBABILITY OF OCCURRENCE OF THE YELLOW ROPE BEING INSIDE THE COVER AND BEING POSITIONED ON ONE OF THOSE 4 CELLS IN ORDER TO CAUSE IS VERY LOW. CURRENTLY, THERE ARE NO OTHER COMPLAINTS REGARDING ALLEGED PRESSURE INJURIES CAUSED BY THE YELLOW ROPE.

Description of Event or Problem · 0

END USER CLAIMS THAT THE YELLOW CORD ON HIS ROHO CUSHION WAS INSIDE OF THE CUSHION. BECAUSE HE WAS NOT AWARE OF IT, HE ALLEGES IT CAUSED HIM TO HAVE A SKIN BREAK DOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1524244 ROHO HIGH PROFILE SINGLE COMPARTMENT CUSHION HIGH PROFILE SINGLE COMPARTMENT CUSHION, WHEELCHAIR CUSHION KIC ROHO, INC. 1R1010C

Patients

Seq Age Sex Outcome Treatment
1 Other