inforMED
MalfunctionLHC

MODELS 5524, 5618, 5624 WARMING CABINET

Received Mar 3, 2020 · Event occurred Jan 4, 2020

Report 9779376 · MDR key 9779376

Device

Generic name

Warmer, Irrigation Solution

Model number

5624

Product problems

  • Sharp Edges

Patient

Not reported

  • Laceration(s)
  • Laceration(s)

Narrative

Description of Event or Problem

STAFF HAVE BEEN CUT BY SHARP EDGES ON THE SHELVES OF WARMERS THAT HAVE HOLES PUNCHED OUT FOR CIRCULATION. DURING REGULAR STOCKING OR REMOVING OF ITEMS THEY CAN CUT STAFF. STAFF WAS CUT ON A MODEL 5624. ~3 WEEKS LATER, STAFF WAS CUT ON A DIFFERENT 5624 UNIT. HOSPITAL HAS LARGE INVENTORY OF WARMERS. 4 WERE CHECKED IN ICN WHERE INCIDENTS HAPPENED AND ALL WERE FOUND TO HAVE SHARP EDGES AROUND THE HOLES ON THE UNDERSIDE OF ALL THREE SHELVES IN EACH WARMER. MANUFACTURER RESPONSE FOR WARMER, (BRAND NOT PROVIDED) (PER SITE REPORTER). GETINGE PLANS TO COME TO THE HOSPITAL NEXT WEEK TO LOOK AT THE SHELVES.