SAFETY VEST "POSEY" "CRISS CROSS VEST BREEZELINE WITH TIES" SAME #3311M

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1992-09-15 for SAFETY VEST "POSEY" "CRISS CROSS VEST BREEZELINE WITH TIES" SAME #3311M manufactured by J.t. Posey.

Event Text Entries

[354] 10:13 p. M. , 8/124/92, resident found hanging over the side rail in a raised position with vest type restraint in place. Vest posey untied from bed and bed rails lowered to allow resident to be eased to the floor. No audible or visual respirations and no palpable pulse. Resident lifted to bed. Dusky in color,=. Cpr initiated with no response. Cpr stopped due to resident being determined to be a "no code blue" status. Skin cool, no apical pulse, nail beds blue. Dr. , police, and family notified. Deputy coroner present and investigation conducted. He reported to family in presence of director of nursing that he would rule her death accidental suffocation by restraint. "the strap of the vest was arround her mid-section and with all the weight, she couldn't breath". The resident had been observed approximately 30 minutes before the incident cwith no signs of problems, agitation or distressdevice not labeled for single use. Patient medical status prior to event: fair condition. There was not multiple patient involvement. Invalid data - on device service/maintenance. No data - regarding date last serviced. Service provided by: invalid data. Invalid data - service records availability. No imminent hazard to public health claimed. Device used as labeled/intended. Device was evaluated after the event. Method of evaluation: actual device involved in incident was evaluated, performance tests performed. Results of evaluation: patient's condition - predisposed event. Conclusion: device evaluated and alleged failure could not be duplicated. Certainty of device as cause of or contributor to event: yes. Corrective actions: device use continued with restrictions/limitations, other. Invalid data - on device destroyed/disposed of status.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1365
MDR Report Key1365
Date Received1992-09-15
Date of Report1992-09-03
Date of Event1992-08-24
Date Facility Aware1992-08-24
Report Date1992-09-03
Date Reported to FDA1992-09-03
Date Reported to Mfgr1992-09-03
Date Added to Maude1992-09-24
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSAFETY VEST "POSEY" "CRISS CROSS VEST BREEZELINE WITH TIES"
Generic NameCHEST POSEY RESTRAINT
Product CodeBRT
Date Received1992-09-15
Model NumberSAME
Catalog Number#3311M
Lot Number029
ID NumberNONE
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityY
Implant FlagN
Device Sequence No1
Device Event Key1308
ManufacturerJ.T. POSEY


Patients

Patient NumberTreatmentOutcomeDate
101. Death 1992-09-15

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.