BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HUNTLEIGH

    MDR report key: 1375126 · Received December 5, 2006

    Report

    Report Number
    1375126
    Event Type
    Injury
    Date Received
    December 5, 2006
    Date of Event
    November 16, 2006
    Report Date
    November 23, 2006
    Manufacturer
    HUNTLEIGH HEALTHCARE INC
    Product Code
    FNM
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHEN LPN LIFTED THE ELECTRIC OVERLAY MATTRESS PUMP, THE CONNECTING CORD SUPPLYING ELECTRICITY TO THE PUMP COME OUT OF PUMP BOX, AND THE LPN RECEIVED A SLIGHT SHOCK. THE DIRECTOR OF NURSING INVESTIGATED . THEN GRAND MESA MEDICAL CAME TO THE FACILITY TO INVESTIGATE THE INCIDENT. IT WAS DETERMINED THAT OVER A PERIOD OF TIME, ONE WIRING HAD WORKED LOOSE, OR HAD BEEN PULLED ON, WHICH CAUSED RELEASE FROM PUMP. PUMP WAS TAKEN OUT OF SERVICE, AND ALL ELECTRICAL CONNECTIONS IN RESIDENT ROOMS WERE CHECKED FOR STABILITY. STEPS WILL BE TAKEN TO INSURE THAT PUMPS ARE PLACED IN SUCH A WAY OR TO GUARD AGAINST UNDUE STRAIN ON THE ELECTRICAL CORDS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HUNTLEIGH BETARED ALTERNATING PRESSURE PAD SYSTEM FNM HUNTLEIGH HEALTHCARE INC HYDRO ELECTRICAL 25EAUL 2601-1

    Patients

    Seq Age Sex Outcome Treatment
    1 32 YR Required Intervention