FDA Adverse Event Other Summary report: N

1937 GENTLETOUCH PILLOW

MDR report key: 1666428 · Received April 20, 2010

Report

Report Number
2921578-2010-00006
Event Type
Other
Date Received
April 20, 2010
Date of Event
January 12, 2010
Report Date
April 19, 2010
Manufacturer
MIZUHO ORTHOPEDIC SYSTEMS, INC.
Product Code
FWZ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

WE DISCUSSED WITH THE FACILITY ON THE USE OF THE PILLOW AND TO ENSURE THE PATIENT'S EYES ARE CENTERED IN THE PILLOW OPENING. THE FACILITY STATED THEY WERE PLACING THE OXYGEN MASK ON THE TABLE AND PLACING THE OXYGEN MASK ON THE TABLE AND PLACING THE PILLOW OVER AND THEN THE PATIENT IS PLACED ON THE PILLOW.

Description of Event or Problem · 1

TWO SEPARATE PATIENTS SUFFERED FROM EYE IRRITATION WHILE FACE DOWN ON A 1937 GENTLETOUCH PILLOW. THE FIRST PATIENT COMPLAINED OF POST OP EYE PAIN FOLLOWING A PAIN MANAGEMENT PROCEDURE AND THE SECOND PATIENT COMPLAINED THAT SHE FELT AS IF THERE WAS SOMETHING INSIDE HER EYE. THE FIRST PATIENT WAS REFERRED TO AN IN-HOUSE EYE SPECIALIST AND IT WAS DETERMINED THAT SHE HAD A MILD CORNEAL ABRASION. THE SECOND PATIENT'S EYE WAS FLUSHED AND FELT BETTER AFTER 24 HOURS. BOTH PATIENTS HAVE RECOVERED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 1937 GENTLETOUCH PILLOW SUPPORT, PATIENT FWZ MIZUHO ORTHOPEDIC SYSTEMS, INC. 1937

Patients

Seq Age Sex Outcome Treatment
1 Other