inforMED
InjuryILJ

SYSTEM 2000

Received Feb 3, 2023 · Event occurred Dec 17, 2022

Report 1419652-2023-00008 · MDR key 16291328

Device

Generic name

Bath, Hydro-massage

Model number

AP31300EU1010

Product problems

  • Temperature Problem
  • Temperature Problem

Patient

Unknown

  • Burn(s)
  • Burn(s)

Narrative

Description of Event or Problem

ARJO WAS NOTIFIED OF AN EVENT INVOLVING A SYSTEM 2000 BATH. IT WAS REPORTED TO ARJO THAT THE PATIENT ALLEGEDLY SUFFERED BURNS WHILE SHOWERING. FOLLOWING THE INFORMATION RECEIVED, THE PATIENT WAS SHOWERING WITHOUT NURSING STAFF (ALONE) USING A HYGIENE CHAIR NEXT TO THE SYSTEM 2000 BATH AND WAS USING A SHOWER HANDLE FROM THE BATHTUB. IT WAS INDICATED THE PATIENT RECEIVED A SECOND-DEGREE BURN ON THE RIGHT FOREARM (ABOUT 5CM) AND A FIRST-DEGREE BURN ON THE LEFT FOREARM. WHEN NURSES HEARD NOISES (FROM THROWING THE SHOWER HANDLE AND FROM THE PATIENT) THEY ATTENDED TO THE PATIENT AND FOUND HIM WITH BURNS. THE PATIENT WAS TAKEN TO THE HOSPITAL THE NEXT DAY FOR TREATMENT OF THE WOUNDS. IN THE INITIAL COMMUNICATION FROM THE CUSTOMER, IT WAS INDICATED THAT THE PATIENT COULD ALSO HAVE BURNT HIMSELF WITH HOT WATER FROM A WATER COOKER.