RecallDepth

Nautica (GK) Mattress Stretcher, manufactured by Georg Kramer GES.M.B.H. & CO. KG A-4061 PASCH ING, Neuhauserweg 14 Austria. These mattress stretchers were sold for installation on or as a component of the following patient bath lifts: a) Manufactured by BHM Medical Inc., Magog, QC, Canada J1X 5Y5: Part number 88004051, Nautica Bath Lift System; b) Distributed by Whitehall Manufacturing, P.O. Box 3527, City of Industry, CA 91744, Manufactured by BHM Medical Inc., Canada: Part number 88004051.12, Nautica Bath Lift System

Company
Arjo, Inc.
Recall Initiated
January 23, 2007
Posted
August 24, 2008
Terminated
August 25, 2008
Recall Number
Z-1234-2008
Quantity
7 units
Firm Location
Roselle, IL

Reason for Recall

Repeated use of the ratchets that lock the position of the back and leg rest of the stretcher may damage the retention pin that prevents the latch from disengaging from the anchor system. This would allow the backrest to pivot freely down to the floor.

Distribution

Nationwide Distribution --- including states of California, Connecticut, Florida, Mississippi and Texas.

Lot / Code Info

There are no serial numbers on the GK Mattress Stretchers. The following bath lifts have the affected stretchers: BHM Part Number 88004051, serial number NTCA-040; BHM Part Number 88004051.12, serial numbers NTCA-0197, NTCA-0200, NTCA-0201, NTCA-0225, NTCA-0166, NTCA-0198

Root Cause

Device Design

Action Taken

BHM Medical initially notified the end users on 1/23/07 of the potential for the back and leg rest latch ratchets to become damaged, allowing the rests to pivot freely. Should a patient be in the stretcher at the time, the patient could fall, potentially sustaining cuts, bruises or even more severe injuries. The letters provided safety instructions to follow until a permanent fix is available, and requested the accounts to complete and return the enclosed response form acknowledging receipt of the letter and dissemination of the safety instructions to all employees operating the lifts with the affected GK stretchers. BHM sent Customer Field Correction Notification letters dated 1/23/08 to the accounts, along with the Technical Advisory Notice - TAN A dated 1/3/08, reiterating the safety instructions from the 1/23/07 letter and requesting the accounts to, if at all possible, remove the equipment from service until an authorized engineer can replace the ratchets in the backrest and leg rest latches. All consignees have been contacted.

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