FDA Adverse Event Injury Summary report: N

CLINITRON RITEHITE C-8 ASSY

MDR report key: 5067436 · Received September 10, 2015

Report

Report Number
1824206-2015-00881
Event Type
Injury
Date Received
September 10, 2015
Date of Event
August 12, 2015
Report Date
August 12, 2015
Manufacturer
HILL-ROM BATESVILLE
Product Code
IOQ
PMA / PMN Number
PK964223
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

THE HILL-ROM TECHNICIAN REMOVED THE BED AND HAS TAKEN IT BACK TO THE SERVICE CENTER FOR EVALUATION. THE ACCOUNT STATED THAT THEY DID NOT PROVIDE ANY ADDITIONAL TREATMENT FOR THE PATIENT FOR THESE WOUND OTHER THAN PLACEMENT ONTO THE CLINITRON BED. DEVELOPMENT OF PRESSURE ULCERS IS MULTIFACTORIAL AND CANNOT BE ONLY ATTRIBUTED TO PERFORMANCE OF THE SURFACE. RISK FACTORS INCLUDE PROTEIN-CALORIE MALNUTRITION, MICROCLIMATE (SKIN WETNESS CAUSED BY SWEATING OR INCONTINENCE), DISEASES THAT REDUCE BLOOD FLOW TO THE SKIN, SUCH AS ARTERIOSCLEROSIS, OR DISEASES THAT REDUCE THE SENSATION IN THE SKIN, SUCH AS PARALYSIS OR NEUROPATHY. POSITION CHANGES ARE KEY TO PRESSURE SORE PREVENTION AND TREATMENT. THESE CHANGES NEED TO BE FREQUENT, REPOSITIONING NEEDS TO AVOID STRESS ON THE SKIN, AND BODY POSITIONS NEED TO MINIMIZE THE RISK OF PRESSURE ON VULNERABLE AREAS. NO FURTHER INFORMATION IS AVAILABLE ON THE REPAIR OF THE BED AT THIS TIME. THE INVESTIGATION IS ONGOING, HOWEVER IF ANY ADDITIONAL RELEVANT INFORMATION IS IDENTIFIED FOLLOWING COMPLETION OF THE INVESTIGATION, THE ADDITIONAL RELEVANT INFORMATION WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem · 1

HILL-ROM RECEIVED A REPORT FROM THE ACCOUNT STATING THE PATIENT DEVELOPED A NEW UNSTAGABLE WOUND ON HIS SACRUM AND RIGHT BUTTOCKS WITH FOUR SMALLER SORES AROUND THOSE TWO AREAS. THE BED WAS LOCATED IN ROOM 402 AT THE ACCOUNT. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
598769 CLINITRON RITEHITE C-8 ASSY BED, AIR FLUIDIZED IOQ HILL-ROM BATESVILLE P0800010019

Patients

Seq Age Sex Outcome Treatment
1 53 YR Other