FDA Adverse Event Injury Summary report: N

SALTER LABS

MDR report key: 14279547 · Received May 4, 2022

Report

Report Number
3000219639-2022-00023
Event Type
Injury
Date Received
May 4, 2022
Date of Event
February 4, 2022
Report Date
May 3, 2022
Manufacturer
SALTER LABS
Product Code
CAT
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

IT WAS REPORTED THAT THE PATIENT TRIPPED OVER THE OXYGEN TUBING AND PATIENT WAS INJURED, REQUIRING SURGERY. THE PATIENT IS NOW IN A SLING FROM SURGERY. THE OXYGEN TUBING CONTRIBUTED MAY HAVE CONTRIBUTED TO AN INJURY BUT DID NOT MALFUNCTION.

Additional Manufacturer Narrative · 0

IT WAS REPORTED THAT THE PATIENT TRIPPED OVER THE OXYGEN TUBING AND PATIENT WAS INJURED, REQUIRING SURGERY. THE PATIENT IS NOW IN A SLING FROM SURGERY. THE OXYGEN TUBING CONTRIBUTED MAY HAVE CONTRIBUTED TO AN INJURY BUT DID NOT MALFUNCTION COMPLAINT HISTORY REVIEWED. THERE HAVE BEEN TWO SIMILAR COMPLAINTS IN THE PREVIOUS 24 MONTHS FOR THIS ISSUE. LONGER TUBING ALLOWS FOR GREATER PATIENT MOBILITY DURING HOME USE, BUT INCREASES INHERENT RISK OF TRIPPING DUE TO TUBING LAYING ON THE FLOOR, AND CAN BE MITIGATED WITH A SWIVEL CONNECTOR (1225-0) SEE REF-10021 - TRIPPING COMPLAINTS REFERENCE FOR FURTHER INFORMATION. RISK(RMA- (B)(6) ): R86: SEVERE INJURY FROM FALL - TUBING CAUGHT ON OBJECTS OR PATIENT'S FEET - S=8, O=2, RPN=16. RPN < 25 THEREFORE RISK IS ACCEPTABLE.

Description of Event or Problem · 0

PATIENT TRIPPED ON OXYGEN TUBING CAUSING INJURY. PATIENT REQUIRED SURGERY AND HAD LEFT ARM IN SLING AFTER SURGERY.

Description of Event or Problem · 0

PATIENT TRIPPED ON OXYGEN TUBING CAUSING INJURY. PATIENT REQUIRED SURGERY AND HAD LEFT ARM IN SLING AFTER SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2244041 SALTER LABS PATIENT KIT- OXYGEN- SEE ORACLE FOR FULL DESCRIPTION CAT SALTER LABS SO-1844

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other