inforMED
MalfunctionCCX

BEACH CHAIR POSITIONER

Received Jul 30, 2024 · Event occurred Jun 18, 2024

Report 3010216206-2024-00009 · MDR key 19867989

Device

Generic name

Support, Patient Position

Model number

AR-1627

Product problems

  • Fracture
  • Fracture

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

THE CUSTOMER REPORTED THAT DURING A TOTAL SHOULDER ARTHROPLASTY PROCEDURE, AN AR-1627 BEACH CHAIR POSITIONER WAS BROKEN ON THE PANEL ON THE BACK, LEADING THE HYDRAULIC NOT TO WORK AND COMPLETELY COLLAPSE. NO HARM OR SIGNIFICANT IMPACT TO THE SURGICAL PROCEDURE WAS REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT # (B)(4).

Additional Manufacturer Narrative

THE BEACH CHAIR SHOULDER POSITIONER IS DESIGNED TO POSITION AND SUPPORT THE PATIENT¿S HEAD AND TORSO IN A VARIETY OF SURGICAL PROCEDURES INCLUDING, BUT NOT LIMITED TO ORTHOPEDIC SURGERIES LIKE, ROTATOR CUFF, TOTAL SHOULDER, REVERSE TOTAL SHOULDER, SLAP REPAIR AND OTHER SHOULDER SURGERY. THESE DEVICES ARE INTENDED TO BE USED BY HEALTHCARE PROFESSIONALS WITHIN THE OPERATING ROOM SETTING. BAXTER IS IN THE PROCESS OF INSPECTING THE AR-1627 BEACH CHAIR POSITIONER. THERE WAS NO ALLEGATION OF PATIENT OR CAREGIVER INJURY OR DEATH REPORTED FROM THIS ALLEGED INCIDENT. INVESTIGATION IS ONGOING. ALL ADDITIONAL AND RELEVANT INFORMATION THAT IS IDENTIFIED FOLLOWING COMPLETION OF THE INVESTIGATION WILL BE SUBMITTED IN A FINAL REPORT.

Additional Manufacturer Narrative

THE BEACH CHAIR SHOULDER POSITIONER IS DESIGNED TO POSITION AND SUPPORT THE PATIENT¿S HEAD AND TORSO IN A VARIETY OF SURGICAL PROCEDURES INCLUDING, BUT NOT LIMITED TO ORTHOPEDIC SURGERIES LIKE, ROTATOR CUFF, TOTAL SHOULDER, REVERSE TOTAL SHOULDER, SLAP REPAIR AND OTHER SHOULDER SURGERY. THESE DEVICES ARE INTENDED TO BE USED BY HEALTHCARE PROFESSIONALS WITHIN THE OPERATING ROOM SETTING. THE BEACH CHAIR SHOULDER POSITIONER WAS RECEIVED BY BAXTER. UPON INSPECTION, IT WAS DETERMINED THAT THE KNOBS TO LOCK TO THE FIXTURE WERE DAMAGED CAUSING THE RUPTURE OF THE BEACH CHAIR BACKBOARD . THE 4 LOBE BLACK KNOBS TO LOCK TO THE FIXTURE, BEACH CHAIR BACKBOARD, VELCRO AND SCREW COVERS WERE REPLACED. BASED ON THIS INFORMATION, NO FURTHER ACTIONS ARE REQUIRED AT THIS TIME. ALTHOUGH THERE WAS NO REPORTED INJURY WITH THIS EVENT, IF THE REPORT OF A BROKEN BEACH CHAIR POSITIONER BACK PANEL WERE TO RECUR, IT COULD POTENTIALLY CAUSE SERIOUS INJURY OR DEATH. THEREFORE BAXTER IS REPORTING THIS EVENT.

Description of Event or Problem

THE CUSTOMER REPORTED THAT DURING A TOTAL SHOULDER ARTHROPLASTY PROCEDURE, AN AR-1627 BEACH CHAIR POSITIONER WAS BROKEN ON THE PANEL ON THE BACK, LEADING THE HYDRAULIC NOT TO WORK AND COMPLETELY COLLAPSE. NO HARM OR SIGNIFICANT IMPACT TO THE SURGICAL PROCEDURE WAS REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT # (B)(4).