FDA Adverse Event Other Summary report: N

CARENDO

MDR report key: 2695271 · Received August 8, 2012

Report

Report Number
9611530-2012-00122
Event Type
Other
Date Received
August 8, 2012
Date of Event
July 19, 2012
Report Date
July 19, 2012
Manufacturer
ARJO HOSPITAL EQUIPMENT AB
Product Code
FSA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT IS BEING FILED UNDER EXEMPTION (B)(4) BY ARJOHUNTLEIGH, INC. ON BEHALF OF THE MFR ARJO (B)(4). ADD'L INFO WILL BE PROVIDED UPON CONCLUSION OF THE MFR'S INVESTIGATION.

Description of Event or Problem · 1

IT WAS REPORTED TO AHUS QA BY SALES THAT A CARENDO SEAT HAD CAUSED SKIN TEARS ON A PT DUE TO JAGGED EDGES. THE SEAT WAS REPLACED BUT WHEN THE PT WAS TAKING A SHOWER, THEIR WOUNDS OPENED UP AGAIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CARENDO SHOWER SYSTEMS FSA ARJO HOSPITAL EQUIPMENT AB BIB2003-01

Patients

Seq Age Sex Outcome Treatment
1 29 YR Other