FDA Adverse Event Injury Summary report: N

SAFE-TCARE BED ENCLOSURE SYSTEM

MDR report key: 3127094 · Received August 2, 2006

Report

Report Number
1651101-2006-00001
Event Type
Injury
Date Received
August 2, 2006
Date of Event
June 27, 2006
Report Date
August 1, 2006
Manufacturer
SAFE-T-CARE MANUFACTURING, INC.
Product Code
FNL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Description of Event or Problem · 1

A SAFE-TCARE MFG DISTRIBUTOR -STC- (B)(6) - DELIVERED A SAFE-TCARE HD BED ENCLOSURE SYSTEM FOR USE WITH A PT AT (B)(6). AT A LATER DATE AN AIR MATTRESS WAS REQUESTED BY (B)(6) AND PCS DELIVERED AND INSTALLED IT. PCS RECEIVED NO COMMUNICATION OF EQUIPMENT PROBLEMS OR MALFUNCTIONS DURING THE PERIOD THE ENCLOSURE SYSTEM AND AIR MATTRESS WAS IN THE FACILITY. STC RECEIVED A PHONE CALL FROM A DISTRIBUTOR REP SAYING THAT A PT HAD BEEN FOUND UNRESPONSIVE IN THE ENCLOSURE AND THAT THE UNIT(S) HAD BEEN QUARANTINED AT THE FACILITY. THE UNIT WAS CHECKED BY THE DISTRIBUTOR REP AND NO PROBLEMS WERE FOUND WITH UNIT(S). THE FIRST CORRESPONDENCE STC RECEIVED FROM THE FACILITY WAS IN THE FAXED FROM OF MED WATCH WITH THE INFO OF PT EXPIRATION ON (B)(6) 2006.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SAFE-TCARE BED ENCLOSURE SYSTEM ENCLOSURE SYSTEM FNL SAFE-T-CARE MANUFACTURING, INC. HD

Patients

Seq Age Sex Outcome Treatment
1 67 YR Death