FDA Adverse Event
Summary report: N
LIFT SHEET INCLUDED IN A CLEAN UP INFECTION CONTROL SYSTEM
MDR report key: 1932895
·
Received December 15, 2010
Report
- Report Number
- 1932895
- Date Received
- December 15, 2010
- Date of Event
- December 2, 2010
- Report Date
- December 15, 2010
- Manufacturer
- MICROTEK MEDICAL, INC.
- Product Code
- KME
- Report Source
- User Facility report
- Reporter Location
- TX, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
RECENTLY WE REVIEWED A SURGERY CASE WHERE A PATIENT ALMOST SLID OFF AN OR TABLE. IT WAS DETERMINED THE PATIENT WAS CORRECTLY POSITIONED. DURING THE REVIEW STAFF MADE A COMMENT REGARDING A CONTRIBUTING FACTOR COULD HAVE BEEN THE LIFT SHEET. THEY REPORTED THE LIFT SHEETS WERE "SLIPPERY." SOME STAFF MEMBERS SAID THEY QUIT USING THE LIFT SHEETS BECAUSE OF THIS REASON. ADDITIONALLY THE LIFT SHEET WAS NOT ALWAYS USED BECAUSE THE SHEET WOULD STRETCH OR "GIVE" WHEN A PATIENT'S WEIGHT WAS PLACED ON IT. THIS TYPE OF PRODUCT WAS USED FOR APPROXIMATELY ONE YEAR. FROM A HUMAN FACTOR STANDPOINT STAFF DID NOT REPORT THIS EARLIER AS THEY SAID THEY LIKED THE OTHER COMPONENTS INCLUDED IN THE MULTI PACK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | LIFT SHEET INCLUDED IN A CLEAN UP INFECTION CONTROL SYSTEM | LIFT SHEET | KME | MICROTEK MEDICAL, INC. | NA | C10318 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |