FDA Adverse Event Malfunction Summary report: N

CORRECTIVE TORSO SYSTEM

MDR report key: 1577 · Received October 15, 1992

Report

Report Number
1577
Event Type
Malfunction
Date Received
October 15, 1992
Date of Event
August 29, 1992
Report Date
September 30, 1992
Manufacturer
L'NARD RESTORATIVE CONCEPTS, INC.
Product Problem
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

8/29/92, 11:10 A.M.; RESIDENT WAS FOUND LYING ON HER RIGHT SIDE ON THE FLOOR IN FRONT OF HER CHAIR POSITIONED IN THE TLSO. A 1-3/4" LACERATION OF THE FOREHEAD WAS OBSERVED AS WELL AS A 3/4" LACERATION OF HER RIGHT EYEBROW AREA. RESIDENT TRANSFERRED TO HOSPITAL EMERGENCY ROOM FOR TREATMENT. RESIDENT DID NOT LOSE CONSCIOUSNESS. ON INVESTIGATION IT WAS FOUND THAT STAFF USED CHAIR OTHER THAN THE CHAIR RECOMMENDED BY THE OTR AND THE L'NARD RESTORATIVE CONCEPTS REPRESENTATIVE TO POSITION RESIDENT. STAFF WERE SUBSEQUENTLY RE-EDUCATED IN THE USE OF THIS ORTHOTIC DEVICE WITH THIS RESIDENTDEVICE LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: SATISFACTORY CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.DEVICE SERVICED IN ACCORDANCE WITH SERVICE SCHEDULE. DATE LAST SERVICED: . SERVICE PROVIDED BY: UNKNOWN. 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. RESULTS OF EVALUATION: FAILURE TO FOLLOW INSTRUCTIONS. CONCLUSION: NO FAILURE DETECTED AND PRODUCT WITHIN SPECIFICATION, OTHER. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: YES. CORRECTIVE ACTIONS: USER EDUCATION PROVIDED, OTHER. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CORRECTIVE TORSO SYSTEM N/A L'NARD RESTORATIVE CONCEPTS, INC. 17TLVSO N/A

Patients

Seq Age Sex Outcome Treatment
1 85 YR Other