FDA Adverse Event Malfunction Summary report: N

PADCALL

MDR report key: 7859576 · Received September 10, 2018

Report

Report Number
7859576
Event Type
Malfunction
Date Received
September 10, 2018
Date of Event
July 18, 2018
Report Date
August 22, 2018
Manufacturer
CURBELL MEDICAL PRODUCTS, INC
Product Code
ILQ
Product Problem
Yes
Report Source
User Facility report
Reporter Location
ME
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

THE PATIENT WAS SITTING IN A RECLINER CHAIR BEDSIDE WITH A CHAIR ALARM AND CALL BELL ON/WITH PATIENT. NURSE ROUNDED ON PATIENT WHO DECLINED ANY NEEDS AT THAT TIME. WHEN THE NURSE MADE IT OUT TO THE NURSE DESK SHE HEARD THE CHAIR ALARM. SHE IMMEDIATELY RETURNED TO THE ROOM AND FOUND THE PATIENT SLIDING OVER THE LEFT ARM OF RECLINER TO THE FLOOR. THE PATIENT WAS ATTEMPTING TO GET UP OFF THE FLOOR. THE FALL RESPONSE TEAM WAS CALLED BUT THERE WAS NO RESPONSE AS THE TIME OF DAY HAD NO STAFF TO COVER (APPROX. 0630). THE PATIENT WAS ASSISTED TO THE BED BUT WAS INSISTING ON GOING TO THE BATHROOM. THE NURSE REPORTED THAT THE PATIENT WAS ASSISTED TO THE BATHROOM AS HE HAD REFUSED TO USE THE URINAL SEVERAL TIMES DURING HER SHIFT AND HE CONTINUED TO REFUSE TO USE IT. PATIENT RETURNED FROM BATHROOM AND NURSE ATTEMPTED TO PLACE HIM IN BED BUT PATIENT REFUSED AND WAS PLACED BACK INTO THE CHAIR. CHAIR ALARM WAS PLACED ON PATIENT AGAIN AND HE WAS GIVEN CALL BELL. AT THIS TIME NURSE FOUND THAT CALL BELL WAS NOT WORKING, NURSE CLAIMS CALL BELL HAD BEEN WORKING WHEN HE WAS INITIALLY ASSISTED INTO CHAIR. ENGINEERING WAS MADE AWARE OF FAULTY CALL BELL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
701063 PADCALL SYSTEM, COMMUNICATION, POWERED ILQ CURBELL MEDICAL PRODUCTS, INC

Patients

Seq Age Sex Outcome Treatment
1 16060 DA