inforMED
InjuryCCX

VITAL SIGNS¿ HEAD POSITIONER

Received Jun 25, 2022 · Event occurred Sep 11, 2019

Report 3013421741-2022-00014 · MDR key 14811887

Device

Generic name

Support, Patient Position

Manufacturer

Vyaire Medical

Catalog number

8000HDP

Lot number

00048523724

Product problems

  • Patient Device Interaction Problem
  • Patient Device Interaction Problem

Patient

Unknown

  • Skin Inflammation/ Irritation
  • Skin Inflammation/ Irritation

Narrative

Additional Manufacturer Narrative

VYAIRE MEDICAL FILE IDENTIFICATION: (B)(4). NO PHOTOGRAPHIC EVIDENCE WAS SUPPLIED AND NO SAMPLE WAS RETURNED. THE DEVICE USED ON THE PATIENT WAS DISCARDED AND THEREFORE THE REPORTED DEFECT COULD NOT BE CONFIRMED. VYAIRE MEDICAL WILL SUBMIT A SUPPLEMENTAL REPORT IN ACCORDANCE WITH 21 CFR SECTION 803.56 IF ADDITIONAL INFORMATION BECOMES AVAILABLE.

Description of Event or Problem

IT WAS REPORTED TO VYAIRE MEDICAL THAT THE 8000 HDP VITAL SIGNS¿ HEAD POSITIONER CAUSED PRESSURE WOUND TO A PATIENT WHEN USED. THE BURNS WERE SEEN ON THE FOREHEAD NEAR THE EYEBROWS. THE CUSTOMER REPORTED IT IS A PRESSURE WOUND THAT CAUSED MULTIPLE BURN WOUNDS ON THE FACE WITH BREAKAGE OF THE SKIN.