PERSONAL BODY HOLDER

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1992-01-08 for PERSONAL BODY HOLDER manufactured by Tecnol, Inc..

Event Text Entries

[225] This personal body holder was applied to a 81 year old female patient in our institution who was somewhat confused. The device was applied in the appropriate and recommended manner. The patient was checked on a regular basis. Forty-five minutes after one night-time check the patient was found to have slipped between the split siderails on the side of the bed, and had her head tangled in the restraint device cutting off her ability to breath. The patient was blue and unresponsive when found. The restraint device was quickly cut and removed from her and the patient was resuscitated. While her life was sustained, she was transferred to the intensive care unit on a ventilator. It was determined that the patient's brain function had been significantly affected and she was unable trigger respirations on her own. Per a decision of the family the patient was removed from the ventilator and died that same dayinvalid data - regarding single use labeling of device. Patient medical status prior to event: fair condition. Invalid data - regarding 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. Imminent hazard to public health claimed. Invalid data - whether device used as labeled/intended. Device was not evaluated after the event. Method of evaluation: no data. Results of evaluation: no data. Conclusion: no data. Certainty of device as cause of or contributor to event: invalid data. Corrective actions: no data. Invalid data - on device destroyed/disposed of status.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number365
MDR Report Key365
Date Received1992-01-08
Date of Report1991-12-06
Date of Event1991-11-29
Report Date1991-12-06
Date Reported to FDA1991-12-06
Date Added to Maude1992-04-20
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 NamePERSONAL BODY HOLDER
Generic NamePATIENT RESTRAINT
Product CodeBRT
Date Received1992-01-08
Device Availability*
Implant Flag*
Device Sequence No1
Device Event Key363
ManufacturerTECNOL, INC.


Patients

Patient NumberTreatmentOutcomeDate
101. Death 1992-01-08

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