inforMED
MalfunctionCCX

VITAL SIGNS HEAD POSITIONER

Received Mar 14, 2020 · Event occurred Feb 13, 2020

Report 9613793-2020-00010 · MDR key 9832691

Device

Generic name

Head Positioner

Manufacturer

Vyaire Medical.

Catalog number

8000HDP

Lot number

48927702

Product problems

  • Material Integrity Problem
  • Material Integrity Problem

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

AT THIS TIME, THE SUSPECT DEVICE HAS NOT BEEN RETURNED FOR EVALUATION. THEREFORE, NO ROOT CAUSE COULD BE DETERMINED YET. ANY ADDITIONAL INFORMATION RECEIVED FROM THE CUSTOMER WILL BE INCLUDED IN A FOLLOW-UP REPORT.

Description of Event or Problem

THE CUSTOMER REPORTED THAT THE 8000HDP VITAL SIGNS HEAD POSITIONER HAS SPLIT AT THE SIDE DURING SURGERY. AS OF THIS TIME, THE INFORMATION REGARDING PATIENT HARM HAS NOT BEEN PROVIDED.