WARMING CABINET
Received Jul 12, 2024 · Event occurred Jul 5, 2024
Report 19729106 · MDR key 19729106
Device
Patient
39 YR · Female
- Hemorrhage/Blood Loss/Bleeding
- Laceration(s)
- Hemorrhage/Blood Loss/Bleeding
- Laceration(s)
Narrative
Description of Event or Problem
STAFF WAS STACKING BLANKETS IN BLANKET WARMER. WHEN THEY GOT TO THE TOP, THEIR RIGHT THUMB HIT THE BOTTOM OF THE MIDDLE SHELF OF THE BLANKET WARMER. THIS CAUSED A CUT THAT BLED FOR APPROXIMATELY AN HOUR. THE CUT REQUIRED STERI-STRIPS TO CLOSE. THE ROOT CAUSE OF THE INJURY IS AS FOLLOWS. THERE ARE HOLES IN THE SHELF FOR AIR CIRCULATION THAT THE BOTTOM OF THESE HOLES HAVE SHARP EDGES. THERE HAS BEEN PREVIOUS INJURIES THAT HAVE BEEN CAUSED BY THESE SHARP EDGES. THERE WAS A PREVIOUS MEDWATCH FOR A SIMILAR GETINGE WARMER, (B)(4). MANUFACTURER RESPONSE FOR WARMING CABINET, WARMING CABINET (PER SITE REPORTER). PER CLINICAL ENGINEERING TECHNICIAN PREVIOUSLY INVOLVED, THERE WERE A FEW SHELVES SENT HOWEVER, THERE WERE SHARP EDGES ON A NUMBER OF THOSE SENT.