inforMED
InjuryKIC

ROHO HIGH PROFILE SINGLE COMPARTMENT CUSHION

Received Sep 19, 2025 · Event occurred Aug 22, 2025

Report 3008630266-2025-00006 · MDR key 23096048

Device

Generic name

Cushion, Flotation

Manufacturer

Roho, Inc.,

Model number

1R1111

Catalog number

1R1111

Product problems

  • Patient Device Interaction Problem
  • Patient Device Interaction Problem

Patient

NA · Male

  • Skin Erosion
  • Skin Erosion

Narrative

Additional Manufacturer Narrative

MANUFACTURING EVALUATION OF BOTH THE ORIGINAL COMPLAINT CUSHION AND THE REPLACEMENT CUSHION WERE UNABLE TO IDENTIFY ANY MANUFACTURING DEFECTS WITH THE CUSHIONS. INTERVIEWS WITH THE USER IDENTIFIED USAGE ERROR AS THE MOST LIKELY ROOT CAUSE. THE USER IDENTIFIED HE FREQUENTLY LEANS TO ONE SIDE IN HIS CHAIR. BY USING A SINGLE CHAMBER AIR CUSHION, LEANING TO ONE SIDE CAUSES THE AIR TO DISPLACE, ALLOWING THE USER TO BOTTOM OUT ON THE LEANING SIDE. SINCE THE USER WAS IDENTIFIED TO BE USING THE WRONG TYPE OF CUSHION, HE WAS RECOMMENDED TO RETURN TO HIS CLINICIAN FOR RE-EVALUATION OF THE TYPE OF CUSHION HE SHOULD BE USING.

Description of Event or Problem

USER HAS REPORTED HIS CUSHION LEAKS WITHIN ABOUT 30 MINUTES OF INFLATION, CAUSING HIM TO BOTTOM OUR IN HIS WHEELCHAIR.

Remedial action

  • Replace