FDA Adverse Event Malfunction Summary report: N

RAULAND RESPONDER-5

MDR report key: 3483017 · Received November 20, 2013

Report

Report Number
3483017
Event Type
Malfunction
Date Received
November 20, 2013
Date of Event
September 16, 2013
Report Date
October 28, 2013
Manufacturer
CURBELL MEDICAL PRODUCTS, INC.
Product Code
ILQ
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MN, US
Reporter Occupation
INVALID DATA

Narratives

Description of Event or Problem · 1

THIS FACILITY HAS HAD MULTIPLE AND REGULAR INSTANCES WERE PATIENTS TRY TO USE THE NURSE CALL SYSTEM AND THE NURSE IS UNABLE TO HEAR THE PATIENT. THE PATIENT ACTIVATES THE CALL LIGHT SYSTEM, BUT THE NURSE IS NOT NOTIFIED. THE STAFF ARE UNABLE TO HEAR THE PATIENT. WE CONTINUE TO SEND THE HAND HELD DEVICE BACK TO THE COMPANY. THE COMPANY REPORTS THAT A SPECIFIC PART WITHIN THE CALL LIGHT IS BREAKING (PART NUMBER 41414U-101393A). THESE ARE PILLOW SPEAKERS, TYPICALLY USED BY PATIENTS WHO DO NOT HAVE USE/CONTROL OF THEIR EXTREMITIES OR WHO ARE NON-VERBAL. THE CALL LIGHT IS ACTIVATED BY THE PATIENT TURNING THEIR HEAD ONTO THE DEVICE. STAFF TEST THE DEVICE WHEN IT IS FIRST INSTALLED IN THE PATIENT ROOM AND THE DEVICE APPEARS TO BE WORKING (THE CALL LIGHT SYSTEM ACTIVATES). HOWEVER, DURING THE COURSE OF CARE, THE CALL LIGHT BREAKS. THERE IS NO WARNING OR SIGNAL THAT THE DEVICE HAS BROKEN. THE CALL LIGHT SYSTEM ITSELF WAS INSTALLED IN 2009.) THERE HAS NOT BEEN PATIENT HARM; HOWEVER, THERE IS INCREASED RISK OF PATIENT HARM BECAUSE THE NURSING STAFF ARE NOT ALERTED TO A PATIENT'S NEED WHEN THE CALL LIGHT SYSTEM IS NOT FUNCTIONING. FACILITIES STAFF ESTIMATE THAT ONE DEVICE OR MORE PER MONTH HAS BEEN RETURNED TO THE MANUFACTURER. THE MANUFACTURER HAS NOT BEEN ABLE TO PROVIDE A REASON FOR THE PROBLEM: THE PART IS REPLACED AND THE DEVICE IS RETURNED TO THE FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
601432 RAULAND RESPONDER-5 SYSTEM, COMMUNICATION ILQ CURBELL MEDICAL PRODUCTS, INC. * *

Patients

Seq Age Sex Outcome Treatment
1 *