OSI FLAT TOP BED
Received Feb 15, 2017 · Event occurred Sep 21, 2016
Report 6331514 · MDR key 6331514
Device
Product problems
- Unintended System Motion
- Device Slipped
- Torn Material
Patient
69 YR
- No Information
- No Information
Narrative
Description of Event or Problem
PATIENT POSITIONED PRONE, SAFETY STRAPS PLACED ON PATIENT. SURGEON REQUESTED TO TILT PATIENT A SMALL DEGREE. BED LIGHTS INDICATED THAT ROTATION WAS SAFE TO PROCEED. WHEN THE REMOTE WAS TOUCHED, BED WENT INTO FREE ROTATION AND WENT TO A 90 DEGREE POSITION TO THE FLOOR ON ITS OWN. THE GEARS JUST GAVE AWAY, REQUIRING THE NURSE, PHYSICIAN AND REP TO HOLD THE BED IN A PRONE PATIENT POSITION UNTIL HELP ARRIVED. NO PATIENT INJURY. UPON ARRIVAL IN BIOMED, BED WAS CONNECTED AND FOUND POWER ENTRY MODULE LOOSE, SPLASH GUARD TORN ON ON/OFF SWITCH, HEAD END CASTER RIGHT SIDE DEMONSTRATED WIGGLE. BED FAILED 5-3 ABLE TO MOVE CROSSBAR WHEN LAMP IS ON, 5-5- FAILED 95 FR CHECK. THIS BED WAS RECENTLY NEW AND STILL UNDER WARRANTY. FIRST PREVENTATIVE MAINTENANCE DUE LATER THIS YEAR.