SNUGGLE WARM PATIENT WARMING BLANKET
Report
- Report Number
- 7071930
- Event Type
- Injury
- Date Received
- November 30, 2017
- Date of Event
- October 23, 2017
- Report Date
- December 8, 2017
- Manufacturer
- SMITH MEDICAL
- Product Code
- DWJ
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- TX, US
- Reporter Occupation
- RISK MANAGER
Narratives
ON (B)(6) 2017, A (B)(6) Y/O PT WENT TO THE OPERATING ROOM FOR A TOTAL LEFT TOTAL HIP ARTHROPLASTY, IT IS REPORTED THE SURGERY WENT WELL BUT WHEN THEY OPERATING ROOM CREW REMOVED THE WARMING BLANKET FROM TOP OF THE PT, THERE WERE SMALL PALE RED SPOTS ON THE PT'S LEFT FOREARM RELATED TO THE BODY WARMER. SPOTS WERE GETTING LIGHTER IN COLOR UPON ARRIVAL TO THE RECOVERY ROOM. RISK BECAME AWARE OF THE EVENT ON (B)(6) 2017 AT WHICH TIME THE WARMING UNIT WAS SEQUESTERED WHEN DISCOVERED THE UNIT USED. UNFORTUNATELY THE WARMING BLANKET WAS NOT SAVED. THE DELAY IN REPORTING THE EVENT IS DUE TO WAITING TO SEE IF THE WARMING BLANKET OR WARMING UNIT REQUIRED THE MED-WATCH. RISK HAD THE WARMING UNIT CHECKED TO SEE IF THE UNIT WAS FUNCTIONING PROPERLY. THE WARMING UNIT WAS CHECKED AND FOUND TO BE FUNCTIONING IN THE PARAMETERS LISTED BY BIOMED / MANUFACTURER. LEAVING THE MED-WATCH NEEDED FOR THE WARMING BLANKET. THERE IS NO DOCUMENTATION AS TO THE REDNESS IN THE PT'S CHART AND THE PT WAS DISCHARGED HOME ON (B)(6) 2017.
THIS WAS ORIGINALLY SENT ON 11/15/2017 BUT RETURNED UNOPENED TO RISK MANAGEMENT ON 12/05/2017. FOUND THE CORRECT ADDRESS FOR SMITH MEDICAL FROM OUR CENTRAL STORES DEPARTMENT AND RESENDING THIS TO THE CORRECT ADDRESS. ORIGINALLY SENT TO SMITH MEDICAL ASD, INC. IN (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 852688 | SNUGGLE WARM PATIENT WARMING BLANKET | WARMING BLANKET | DWJ | SMITH MEDICAL |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 62 YR |