FDA Adverse Event Injury Summary report: N

PANACEA 7000

MDR report key: 883342 · Received July 16, 2007

Report

Report Number
1931947-2007-00002
Event Type
Injury
Date Received
July 16, 2007
Date of Event
July 11, 2007
Report Date
July 13, 2007
Manufacturer
NOA MEDICAL INDUSTRIES, INC.
Product Code
FNL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NO MALFUNCTION IS ALLEGED. THE INITIAL REPORTER (FACILITY ADMINISTRATOR) REPORTED THAT THE STAFF HAD NO COMPLAINTS WITH THE BED. THE FACILITY STAFF WAS ESPECIALLY PLEASED WITH THE PERFORMANCE OF THE MATTRESS KEEPERS - PARTICULARLY BECAUSE THE RESIDENT SUFFERED FROM EXTREME INVOLUNTARY MOVEMENTS. PER THE INITIAL REPORTER THE HEAD BOARD WAS EASILY REMOVED TO FREE THE PATIENT. THE MATTRESS INVOLVED WAS A PANACEA TENDER PLUS DISTRIBUTED BY DIRECT SUPPLY. THE FACILITY MEASURED THE GAP BETWEEN THE HEAD BOARD AND THE MATTRESS AS ONE AND FIVE EIGHTS INCHES. THIS GAP SIZE IS EXACTLY WHAT NOA WOULD EXPECT TO FIND WITH A SIMILAR, PROPERLY SIZED, MATTRESS. NOA HAS NOT REQUESTED THE BED TO BE RETURNED FOR EVALUATION AS THERE IS EXACT CORRELATION BETWEEN THE FACILITY AND NOA. THE CURRENT FDA/HBSW GUIDANCE, ISSUED 03/10/2006 DOES NOT OFFER ANY DIMENSIONAL GUIDANCE FOR ZONE 7. THE DRAFT OF THE SAME GUIDANCE DOCUMENT, ISSUED 08/30/2004 INDICATED THE GAP SHOULD BE LESS THAN FOUR AND THREE QUARTERS INCHES. THE ACTUAL ZONE 7 GAP OF ONE AND FIVE EIGHTS INCHES IS SIGNIFICANTLY SMALLER THAN THE DIMENSIONS OF ANY BODY PART LISTED IN THE GUIDANCE DOCUMENT. THERE IS NO CORRECTIVE OR REMEDIAL ACTION ANTICIPATED AT THIS TIME.

Description of Event or Problem · 1

PATIENT'S HEAD ALLEGEDLY BECAME STUCK BETWEEN THE HEAD BOARD AND THE MATTRESS (ZONE 7 ENTRAPMENT). THE DIXON FIRE DEPARTMENT RESPONDED AND FREED THE PATIENT. THE HEAD BOARD WAS EASILY REMOVED ACCORDING TO THE INITIAL REPORTER. THERE WAS NO ACTUAL SERIOUS INJURY. THE PATIENT DID NOT RECEIVE ANY TREATMENT FOR INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PANACEA 7000 AC ELECTRIC HOSPITAL BED FNL NOA MEDICAL INDUSTRIES, INC. PANACEA 7000

Patients

Seq Age Sex Outcome Treatment
1 YR Life Threatening PANACEA TENDER PLUS MATTRESS