LIFT SHEET INCLUDED IN A CLEAN UP INFECTION CONTROL SYSTEM 10 C10308

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-12-15 for LIFT SHEET INCLUDED IN A CLEAN UP INFECTION CONTROL SYSTEM 10 C10308 manufactured by Microtek Medical, Inc..

Event Text Entries

[1759455] Recently we reviewed a surgery case where a patient almost slid off an or table. It was determined the patient was correctly positioned. During the review staff made a comment regarding a contributing factor could have been the lift sheet. They reported the lift sheets were "slippery. " some staff members said they quit using the lift sheets because of this reason. Additionally the lift sheet was not always used because the sheet would stretch or "give" when a patient's weight was placed on it. This type of product was used for approximately one year. From a human factor standpoint staff did not report this earlier as they said they liked the other components included in the multi pack.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1932895
MDR Report Key1932895
Date Received2010-12-15
Date of Report2010-12-15
Date of Event2010-12-02
Report Date2010-12-15
Date Reported to FDA2010-12-15
Date Added to Maude2010-12-20
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameLIFT SHEET INCLUDED IN A CLEAN UP INFECTION CONTROL SYSTEM
Generic NameLIFT SHEET
Product CodeKME
Date Received2010-12-15
Model NumberNA
Catalog Number10 C10308
Lot NumberC10318
ID Number*
Device Sequence No1
Device Event Key0
ManufacturerMICROTEK MEDICAL, INC.
Manufacturer Address602 LEHMBERG RD COLUMBUS MS 39702 US 39702


Patients

Patient NumberTreatmentOutcomeDate
10 2010-12-15

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