FDA Adverse Event
Malfunction
Summary report: N
KINAIR MEDSURG
MDR report key: 1702659
·
Received May 9, 2010
Report
- Report Number
- 1702659
- Event Type
- Malfunction
- Date Received
- May 9, 2010
- Date of Event
- February 28, 2010
- Report Date
- May 9, 2010
- Manufacturer
- KCI USA, INC
- Product Code
- INX
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MI, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
THE WHEELS WOULD NOT LOCK ON A KCI LOW AIR LOSS BED IN SICU. WHEN CARE GIVER LEANED ON BED IT WOULD MOVE EASILY. MATTRESS IS SUCH THAT WHEN THE MATTRESS IS ON MAX INFLATE THE PATIENT SLIDES EASILY ON THE MATTRESS. COMBINED WITH THE BED MOVING, BOTH THE CARE GIVER AND THE PATIENT ARE AT RISK FOR INJURY. VENDOR PERSONNEL DID DEMONSTRATE THE PROPER PROCEDURE FOR LOCKING THE WHEELS HOWEVER, ONLY THE WHEELS AT THE LOWER END OF THE BED LOCK. THE TWO AT THE HEAD END DO NOT. VENDOR PERSONNEL ADMITTED THIS IS TRUE OF ALL OF THESE BEDS. CO-WORKERS CONFIRMED THEY HAVE THE SAME ISSUE IN OTHER ROOMS WITH SIMILAR BEDS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | KINAIR MEDSURG | BED, AIR FLUIDIZED | INX | KCI USA, INC | KINAIR MEDSURG | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 82 YR |