FDA Adverse Event
Injury
Summary report: N
HANGER
MDR report key: 2003510
·
Received February 18, 2011
Report
- Report Number
- MW5019503
- Event Type
- Injury
- Date Received
- February 18, 2011
- Date of Event
- February 16, 2011
- Report Date
- February 18, 2011
- Manufacturer
- HANGER
- Product Code
- FXZ
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CT, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
PT WITH RIGHT MCA STROKE S/P RIGHT FRONTAL TEMPORO-PARIETAL CRANIECTOMY AND DURAL GRAFT HAD PROTECTIVE HELMET DEVICE DELIVERED AND APPLIED BY ORTHOTIST. APPROX TWO HOURS LATER, PT WAS OBSERVED WITH HELMET SITTING OVER BRIDGE OF THE NOSE WITH PRESSURE AND REDNESS NOTED; ALSO, PRESSURE ON PT'S EAR WITH REDDENED SKIN PRESENT. READJUSTMENT OF HELMET DID NOT RESOLVE PROBLEM AS MOVEMENT WAS RESTRICTED BY HELMET AT THE BACK OF THE PT'S NECK. THE ORTHOTIST WAS CALLED AND CAME TO REASSESS THE DEVICE; PT'S SURGEON WAS ALSO NOTIFIED. THE PT REMAINS INPATIENT AT THE PRESENT TIME WITH RECOMMENDED ADJUSTMENTS/PADDING AS PER ORTHOTIST.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HANGER | HELMET | FXZ | HANGER | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 50 YR | Disability |