MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 99 report with the FDA on 2005-12-21 for SKIL-CARE manufactured by Skil-care.
[2319874]
Resident was being transferred with assist of two from wheelchair to scale. Residents legs started to buckle. Staff attempted to put resident back into wheelchair, when transfer belt broke in half. Resident was lowered to the floor.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2366551 |
| MDR Report Key | 2366551 |
| Report Source | 99 |
| Date Received | 2005-12-21 |
| Date of Report | 2005-12-13 |
| Date of Event | 2005-12-12 |
| Date Facility Aware | 2005-12-12 |
| Report Date | 2005-12-13 |
| Date Added to Maude | 2011-12-13 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | SKIL-CARE |
| Generic Name | TRANSFER BELT |
| Product Code | ISR |
| Date Received | 2005-12-21 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | NA |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SKIL-CARE |
| Manufacturer Address | 29 WELLS AVE. YONKERS NY 10701 US 10701 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2005-12-21 |