inforMED
MalfunctionCCX

SUPPORT, PATIENT POSITION

Received Oct 2, 2019 · Event occurred Jun 19, 2019

Report 9145125 · MDR key 9145125

Device

Generic name

Support, Patient Position

Manufacturer

Cardinal Health

Catalog number

FP-HEADSF

Lot number

195299

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

Not reported

  • Tissue Damage
  • Tissue Damage

Narrative

Description of Event or Problem

HEAD FRAME FOAM POSITIONER WITH SOFT LAYER BY CARDINAL HEALTH HAS BEEN CAUSING BREAKDOWN TO PATIENTS CHINS IN THE OPERATING ROOM IN THE PRONE POSITION FOR GREATER THAN EIGHT HOURS. WE SWITCHED TO THIS PRODUCT FROM A DIFFERENT PRODUCT WITHIN THE LAST YEAR AND PREVIOUSLY HAD NO CASES. WE KNOW OF THREE CASES SINCE THE NEW PRODUCT.