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