|
The parent reported that the zipper that attaches the sheet to the fabric enclosure keeps splitting open.The child is became entrapped between the mattress and the frame.The parent stated that her daughter wedged herself inside the cubby bed between the mattress and the canopy wall, with the safety sheet in place, causing the safety sheet zipper to separate.The child was stuck in that location until the parents found her.The zipper did not appear to be damaged, per the parent, and was zipped and locked as required prior to the reported incident.The parent stated that this issue happened twice, 3-4 days apart.The customer provided one photo for review by sensory medical.The photo displays that the safety sheet zipper is separated.There was no injury as a result of this event.
|
|
Sensory medical advised the customer to discontinue use of the bed until the issue can be resolved and replacement safety sheets have been received.A replacement canopy and safety sheet were provided to the customer.Sensory medical requested the damaged safety sheets to be returned and provided a pre-paid return shipping label.The sheets have not been returned as of the writing of this investigation.Sensory medical has followed up on (b)(6) 2026 (two emails), on (b)(6) 2026 (phone call), requesting further information.250116m16 is the lot for the safety sheet.Review of manufacturing records confirm all in process and final inspections were performed and passed.Multiple statements are made in the cubby bed user manual regarding safe use of the bed to prevent elopement and other safety concerns.Page 3 of the cubby bed user manual contains a warning for entrapment hazard."openings in and between bed parts can entrap the head and the neck." page 3 of the cubby bed user manual contains a warning for entrapment hazard."to avoid dangerous gaps do not use this product without the safety sheets completely zipped and locked in place to the sidewall.Safety sheet with lock in place is always required." page 3 of the cubby bed user manual contains a warning for "use the maintenance checklist in the manual to inspect the canopy, seams, zippers, electronic accessories, cords, metal frame, screws, slats, locks, and safety sheets every 30 days." page 3 of the cubby bed user manual contains a warning for "if any damage is present, immediately discontinue use and contact cubby for repair or replacement." page 5 contains a parts list, which includes the locks and safety sheets.Page 11 instructs to secure the safety sheet zipper to the loop on the canopy with the lock to prevent the patient user from removing the sheet.Do not use the product without the safety sheets zipped and locked in place.Page 15 explains the key safety feature of the bed.The locks are provided to secure your safety sheet to the canopy and to secure your technology hub (or cloth cover if you're not using the technology hub) to the canopy.The s-clips are included to secure the canopy door zippers closed to prevent user elopement.Page 15 assembly + care faq's includes description and use of the locks on the safety sheets and the technology hub zippers.On page 22 includes a monthly maintenance checklist, one check is: "safety sheet fabric, cord loop and zippers have no tears, rips or snags and lock is secured." additional investigation is needed, and sensory medical's root cause investigation is ongoing.There was no report of injury as a result of the event.
|