inforMED
InjuryCCX

PILLOW, GENTLETOUCH, 7 INCH RT

Received May 3, 2023 · Event occurred Jun 1, 2022

Report 2921578-2023-00005 · MDR key 16865778

Device

Generic name

Patient Positioning Accessory

Manufacturer

Mizuho Osi

Model number

1937

Catalog number

1937

Lot number

APF220418

Product problems

  • Use of Device Problem
  • Use of Device Problem

Patient

Male

  • Erythema
  • Rash
  • Blister
  • Erythema
  • Rash
  • Blister

Narrative

Additional Manufacturer Narrative

THE GENTLETOUCH HEADREST PILLOW WAS NOT INFLATED ENOUGH AND WAS USED ON THE PATIENT FOR SURGICAL SUPPORT DESPITE THE WARNINGS MENTIONED IN THE INSTRUCTIONS FOR USE THAT SAY "DO NOT USE A PILLOW THAT HAS NOT FULLY EXPANDED". BASED ON THIS INFORMATION RECEIVED FROM THE INVESTIGATION, THE INCIDENT WAS DEEMED AS A USER ERROR WITH FAILURE TO FOLLOW INSTRUCTIONS.

Description of Event or Problem

IT WAS REPORTED THAT A PATIENT GOT INJURED DUE TO THE USE OF PATIENT SUPPORT PILLOW DURING THE SURGERY.