FDA Adverse Event Injury Summary report: N

GIRAFFE OMNIBED CARESTATION

MDR report key: 14687024 · Received June 14, 2022

Report

Report Number
2112667-2022-01562
Event Type
Injury
Date Received
June 14, 2022
Date of Event
May 5, 2022
Report Date
August 5, 2022
Manufacturer
DATEX-OHMEDA, INC.
Product Code
FMT
PMA / PMN Number
K152814
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CT, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

GE HEALTHCARE INVESTIGATION INTO THE REPORTED OCCURRENCE IS ONGOING. A FOLLOW-UP REPORT WILL BE ISSUED WHEN THE INVESTIGATION HAS BEEN COMPLETED. LEGAL MANUFACTURER: HCS (B)(4).

Additional Manufacturer Narrative · 0

GE HEALTHCARE FIELD ENGINEER PERFORMED AN INSPECTION ON ALL THE PATIENT DOORS WITH NO DEFECTS FOUND. ALL SIDE PANEL DOORS, LATCHES AND LOCKING MECHANISMS WERE IN PROPER WORKING CONDITION ALONG WITH THE APPROPRIATE WARNING LABEL STICKERS FOR EACH DOOR. THERE WAS NO PRODUCT MALFUNCTION IDENTIFIED. BASED ON THE AVAILABLE INFORMATION, POTENTIAL ROOT CAUSES ARE: - THE USER THAT CLOSED THE FAR PANEL (WEST) DID NOT PROPERLY LATCH IT AFTER PATIENT CARE. - THE USER THAT WAS FEEDING THE PATIENT DID NOT WALK TO THE OTHER SIDE OF THE DEVICE (WEST) TO CHECK THE STATUS OF THOSE BEDSIDE PANEL LATCHES PRIOR TO INITIATING PATIENT CARE.

Description of Event or Problem · 0

THE HOSPITAL REPORTED AN INFANT FELL FROM THE GIRAFFE OMNIBED CARESTATION. THE SIDE PANEL OPPOSITE OF THE SIDE PANEL THAT WAS USED FOR FEEDING PRIOR TO THE INCIDENT AND THE SIDE FROM WHICH AN IV WAS STARTED PRIOR TO FEEDING WAS FOUND OPEN. THE SIDE THAT WAS USED FOR FEEDING (THROUGH PORTHOLES WITH CANOPY RAISED) WAS FOUND TO BE SECURE. A CAT SCAN WAS PERFORMED AND WAS NORMAL. THE INFANT REQUIRED NO ADDITIONAL TREATMENT AND WAS DISCHARGED HOME. GE HEALTHCARE WILL SUBMIT A FOLLOW-UP REPORT WHEN THE INVESTIGATION HAS BEEN COMPLETED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1476347 GIRAFFE OMNIBED CARESTATION INCUBATOR, NEONATAL FMT DATEX-OHMEDA, INC. 2082844-001

Patients

Seq Age Sex Outcome Treatment
1 1 DA Unknown Other