inforMED
MalfunctionCBF

BARA-MED

Received Oct 18, 2016 · Event occurred Sep 13, 2016

Report 6036511 · MDR key 6036511

Device

Generic name

Chamber, Hyperbaric

Model number

N/A

Catalog number

N/A

Lot number

N/A

Product problems

  • Break
  • Detachment Of Device Component

Patient

79 YR

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

WHEN THE TECHNICIAN WENT TO CLOSE THE DOOR TO THE CHAMBER AND BEGIN THE PATIENT'S TREATMENT, THE HANDLE BROKE OFF AND THE PATIENT WAS TRAPPED IN THE CHAMBER. THE TECHNICIAN CALLED THE CLINICAL COORDINATOR AND THE PROGRAM MANAGER IMMEDIATELY. MAINTENANCE WAS CALLED AND THE PATIENT WAS REMOVED FROM THE CHAMBER AFTER 20 MINUTES OF BEING IN THERE. THE MANUFACTURER WILL ALSO BE CALLED IN TO MAKE SURE THAT THE MACHINE IS SAFE FOR PATIENT USE BEFORE WE RESUME TREATMENTS. MANUFACTURER RESPONSE FOR HYPERBARIC CHAMBER, HYPERBARIC CHAMBER (PER SITE REPORTER): NOTIFIED AND EVALUATED CHAMBER.