MalfunctionFOX
UNIVERSAL CART (W/O UPS)
Received Feb 4, 2021 · Event occurred Jan 13, 2021
Report 2134265-2021-01160 · MDR key 11280838
Device
Generic name
Stand, Infusion
Manufacturer
Modo IncorporatedModel number
700-60101Catalog number
700-60101
Product problems
- Material Deformation
- Material Integrity Problem
- Material Deformation
- Material Integrity Problem
Patient
Not reported
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
IT WAS REPORTED THAT THE CART WHEELS ARE BROKEN. THE ACCOUNT REPORTED THAT ALL FOUR WHEELS TO THE CART ARE WEARING DUE TO USE. THIS CAUSES FRICTION MAKING THE CART HARD TO PUSH. DUE TO THIS, ONE WHEEL BROKE, WHICH CAUSED INSTABILITY AND RESULTED IN THE CART TIPPING ON TO A STAFF MEMBER. THE STAFF MEMBER SUSTAINED MINOR BRUISING. NO OTHER INJURIES OR COMPLICATIONS OCCURRED.