inforMED
InjuryCCX

VITAL SIGNS¿ HEAD POSITIONER

Received Sep 29, 2023 · Event occurred Jan 1, 2023

Report 3013421741-2023-00038 · MDR key 17844563

Device

Generic name

Support, Patient Position

Catalog number

8000HDP

Lot number

UNKNOWN

Product problems

  • Patient Device Interaction Problem
  • Patient Device Interaction Problem

Patient

Unknown

  • Abrasion
  • Ulcer
  • Abrasion
  • Ulcer

Narrative

Additional Manufacturer Narrative

H3: 81 OTHER - AT THIS TIME, THE SUSPECT DEVICE HAS NOT BEEN RETURNED FOR EVALUATION. NO ROOT CAUSE HAS BEEN DETERMINED YET. ON FOLLOW-UP, THE CUSTOMER INDICATED THAT THEY DO NOT HAVE SUSPECT SAMPLES AVAILABLE BECAUSE, AFTER USE, ALL THE DEVICES WERE DISPOSED OF. ALSO, THE CUSTOMER CONFIRMED THAT FROM (B)(6) 2023, ABOUT 40-45 PIECES WERE USED BUT WAS NOT ABLE TO INDICATE THE LOT NUMBERS. 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 THERE WERE SIGNS OF DECUBITUS ON THE FACE AFTER PRONE-POSITION SURGERY. ACCORDING TO THE NEUROSURGEONS, THE VITAL SIGNS¿ HEAD POSITIONER OFTEN CAUSES REDNESS ON THE MOST EXPOSED PARTS OF THE PATIENT'S FACE, WHICH THEN DEVELOPS INTO ABRASIONS AND PRESSURE INJURIES. THE REDNESS PRESSURE SORES WERE DISCOVERED AT THE END OF THE SURGICAL PROCEDURE, AFTER USE OF THE POSITIONER.