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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDLINE INDUSTRIES INC; BEDPAN,MEGA-FRACTURE,GRAPHITE, BARIATRIC

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MEDLINE INDUSTRIES INC; BEDPAN,MEGA-FRACTURE,GRAPHITE, BARIATRIC Back to Search Results
Catalog Number DYNC8552
Device Problems Material Distortion (2977); Material Integrity Problem (2978)
Patient Problem Cellulitis (1768)
Event Date 10/01/2017
Event Type  Injury  
Manufacturer Narrative
The account reported that when the nurse placed the patient on the bedpan there was sharp plastic on the bedpan that cut the patients bottom while she was being placed on the pan.The nurse reported that the pan was intact and not cracked when being placed.The cut became infected and the patient developed cellulitis.The patient was treated with unknown intravenous (iv) antibiotic for approximately 6-8 weeks which extended the patients hospital stay.The reporter did not know the patients weight at the time of the event or comorbidities that may have contributed to the patient's cellulitis.The patient is home now and the cut has healed.A sample is not available to be returned for evaluation however, due to the reported incident and subsequent need for medical intervention, this medwatch is being filed.If additional relevant information becomes available this report will be reopened and reevaluated.If additional relevant information becomes available a supplemental medwatch will be filed.
 
Event Description
The account reported the edges of the pan are very sharp plastic and it cut the patient's skin.
 
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Type of Device
BEDPAN,MEGA-FRACTURE,GRAPHITE, BARIATRIC
Manufacturer (Section D)
MEDLINE INDUSTRIES INC
three lakes dr
northfield IL 60093
Manufacturer (Section G)
MEDLINES INDUSTRIES INC
three lakes drive
northfield IL 60093
Manufacturer Contact
karen trutsch
three lakes drive
northfield, IL 60093
8476434960
MDR Report Key7014734
MDR Text Key91512134
Report Number1417592-2017-00079
Device Sequence Number1
Product Code FOB
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional,user faci
Reporter Occupation Nurse
Type of Report Initial
Report Date 11/09/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/09/2017
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Nurse
Device Catalogue NumberDYNC8552
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received10/19/2017
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
Patient Outcome(s) Hospitalization;
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