ROHO? QUADTRO SELECT? HIGH PROFILE? CUSHION QS910C

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2019-01-02 for ROHO? QUADTRO SELECT? HIGH PROFILE? CUSHION QS910C manufactured by Roho, Inc..

Event Text Entries

[131889102] The end user's wife called on behalf of her husband regarding an unrelated concern that did not contribute to the alleged injury. While speaking to her, it was mentioned that the end user has a history of obtaining pressure sores which is why he was given a roho cushion. She states the roho cushion was used for about 2-3 months before the second sore was noticed. Prior to receiving a roho, the patient had been seeing a general surgeon and multiple attempts were made to debride unrelated wounds. These attempts were not effective, and the originating wound was just getting bigger. She mentioned that when the roho cushion was received the end user was sitting on top of the cushion, not immersed. They saw a seating specialist that advised them that they were using the cushion inappropriately and educated them on the proper way to set-up the cushion for operation. At some point while using the cushion, the patient developed a second pressure sore. The wife believes that this was due to the heat being trapped under her husband's bottom while using the roho cushion. A replacement cushion was sent to the caller and a return label was given so that the cushion of concern could be evaluated. However, the product has not been returned yet, so an evaluation could not be conducted at this time. Subsequent check-ins with the caller have all returned positive progress notes. The end user had a routine check-up with his physician where he was instructed to continue hyperbaric treatment paired with getting off his roho cushion and resting throughout the day. At the time of reporting, the end user had no hospitalizations and was not required to seek additional medical attention outside of what was already scheduled. Case is being reported as a precaution due to the allegation of an injury. Although an alleged injury is reported, no medical documents have been submitted for confirmation. If additional information is presented by the evaluation of returned product or additional contact with the end user, a follow up report will be submitted.
Patient Sequence No: 1, Text Type: N, H10


[131889103] A call was received from the end user's wife stating that he had a pressure sore. She stated that he has trouble with sores, but that this one is much worse. She states that the cushions functionality was as expected, but it retains heat and she believes this is what caused his pressure sores to worsen. The end user lives in a hot and humid climate and he is usually seated for 15-18 hours per day.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1419507-2019-00001
MDR Report Key8210643
Report SourceCONSUMER
Date Received2019-01-02
Date of Report2019-01-02
Date of Event2018-11-01
Date Mfgr Received2018-12-03
Device Manufacturer Date2017-11-20
Date Added to Maude2019-01-02
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. ROBIN GERGEN
Manufacturer Street1501 S. 74TH STREET
Manufacturer CityBELLEVILLE IL 62223
Manufacturer CountryUS
Manufacturer Postal62223
Manufacturer G1ROHO, INC.
Manufacturer Street1501 S. 74TH STREET
Manufacturer CityBELLEVILLE IL 62223
Manufacturer CountryUS
Manufacturer Postal Code62223
Single Use3
Remedial ActionRL
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameROHO? QUADTRO SELECT? HIGH PROFILE? CUSHION
Generic NameWHEELCHAIR CUSHION
Product CodeKIC
Date Received2019-01-02
Model NumberQS910C
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerROHO, INC.
Manufacturer Address1501 S. 74TH STREET BELLEVILLE IL 62223 US 62223


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-01-02

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