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Model Number 2532 |
Device Problem
Mechanical Problem (1384)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Type
malfunction
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Manufacturer Narrative
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H3 product has been received but investigation is ongoing and the results of the investigation were not completed at the time of this report.Instructions for use (ifu) warning states to before each use, check cuffs and straps for cracks, tears, and/or excessive wear or stretch, broken buckles or locks, and/or that hook-and-loop adheres securely as these may allow patient to remove cuff.Discard if device is damaged or if unable to lock.The ifu also provided extra warning to not use this device with someone who has continued highly aggressive or combative behavior, self-destructive behavior, or deemed to be an immediate risk to others or to self.The ifu application instructions state to attach the female end of the quick-release buckle (short strap) to the frame that moves with the patient, out of the patient¿s reach (do not attach to side rail or head/footboard).You may also wrap the connecting strap once around the frame to move the buckle out of the patient¿s reach.Secure by feeding the female end through the loop in the strap.Insert the male end of the connecting strap into the female end of the short strap.Listen for a snapping sound, pull firmly on straps to ensure a good connection.To limit unwanted adjustment, tie an overhand knot with the excess strap directly below the quick-release buckle.All complaints are trended and reviewed by management on a monthly basis.As part of this monthly review, any excursion above the control limits for this failure mode will be assessed, documented and acted upon as warranted.Manufacturer reference file (b)(4).
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Event Description
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Customer is reporting complaint on product 2532.(b)(6).(b)(6) is reporting rn manager icu.Customer states that product 2532 lot 3128t241 came loose on 6 different patients.Patients were able to slip their hands out and remove trach tube.Please advise tech service once inspection has been completed.
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Manufacturer Narrative
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H3: evaluation of the returned product found when following the steps prescribed in the ifu, the bed connecting straps did not exhibit any slippage.Step 1b on the ifu application instructions states in order to limit unwanted adjustment, tie an overhand knot with the excess strap directly below the quick release buckle.Since no device design or manufacturing defect could be confirmed, the probable causes of the complaint could be improper application of the device.The instructions for use application instructions state insert the male end of the connecting strap into the female end of the short strap.Listen for a snapping sound.Pull firmly on the straps to ensure a good connection.To limit unwanted adjustment, tie an overhand knot with the excess strap directly below the quick-release buckle.Contraindications in the ifu state do not use this device with someone who has continued highly aggressive or combative behavior, self-destructive behavior, or deemed to be an immediate risk to others or to self.All complaints are trended and reviewed by management on a monthly basis.As part of this monthly review, any excursion above the control limits for this failure mode will be assessed, documented and acted upon as warranted.Manufacturer reference file: (b)(4).
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Event Description
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Supplemental medwatch being sent for additional information.
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Search Alerts/Recalls
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