BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INTERMITTENT VENOUS COMPRESSION SYSTEM PUMP

    MDR report key: 18147642 · Received November 16, 2023

    Report

    Report Number
    18147642
    Event Type
    Malfunction
    Date Received
    November 16, 2023
    Date of Event
    August 2, 2023
    Report Date
    September 22, 2023
    Manufacturer
    CURRIE MEDICAL SPECIALTIES INC.
    Product Code
    JOW
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AZ
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    HOLD JH 11-16PATIENT¿S NURSE PLUGGED-IN AN INTERPRETATION TABLET INTO THE WALL BEHIND THE BED, AND A SPARK CAME FROM THE OUTLET. FACILITIES WAS IMMEDIATELY NOTIFIED. WHEN THE FACILITIES TEAM MEMBER WAS CHECKING OTHER OUTLETS IN THE ROOM, AN OUTLET NEXT TO THE BED CREATED A LARGE SPARK. AT THE TIME OF THE SPARK, A SEQUENTIAL COMPRESSION DEVICE (SCD) MACHINE WAS PLUGGED-IN AND WAS CONNECTED TO THE PATIENT. NO HARM TO THE PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2220364 INTERMITTENT VENOUS COMPRESSION SYSTEM PUMP JOW CURRIE MEDICAL SPECIALTIES INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 26280 DA Female