ROHO? QUADTRO SELECT? CUSHION

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2017-08-24 for ROHO? QUADTRO SELECT? CUSHION manufactured by Roho, Inc..

Event Text Entries

[83610169] The caller stated that the nursing staff at the nursing home did not monitor the patient's skin as they should have. She stated that the nurses should have noticed any injury when they were bathing the patient or changing her clothes well before it is required hospitalization. She was concerned that the facility was blaming the injury on the cushion instead of following up with the nursing staff to ensure they were trained on proper usage of the cushion. The caller did not have access to the cushion in order to send it to roho for evaluation. She did not know the manufacturing date, cushion model, or serial number, so roho has been unable to perform a review of manufacturing records.
Patient Sequence No: 1, Text Type: N, H10


[83610170] The caller stated a patient was in the hospital with a nearly stage iv pressure ulcer and needed a temporary colostomy because the wound was close to the anal outlet. She stated the nursing staff claimed the injury was caused after the patient sat on a roho quadtro select cushion with a flat quadrant for weeks.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1419507-2017-00003
MDR Report Key6818745
Report SourceHEALTH PROFESSIONAL
Date Received2017-08-24
Date of Report2017-08-24
Date of Event2017-01-01
Date Mfgr Received2017-07-25
Date Added to Maude2017-08-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOCCUPATIONAL THERAPIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. ROBIN GERGEN
Manufacturer Street100 N. FLORIDA AVE.
Manufacturer CityBELLEVILLE IL 62221
Manufacturer CountryUS
Manufacturer Postal62221
Manufacturer Phone8008513449
Manufacturer G1ROHO, INC.
Manufacturer Street1501 S. 74TH ST.
Manufacturer CityBELLEVILLE IL 62223
Manufacturer CountryUS
Manufacturer Postal Code62223
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameROHO? QUADTRO SELECT? CUSHION
Generic NameWHEELCHAIR CUSHION
Product CodeKIC
Date Received2017-08-24
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerROHO, INC.
Manufacturer Address1501 S. 74TH ST. BELLEVILLE IL 62223 US 62223


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2017-08-24

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