FULL BODY SLING SOLID MEDIUM 9153632095 R112

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-12-10 for FULL BODY SLING SOLID MEDIUM 9153632095 R112 manufactured by New Prokin.

Event Text Entries

[33243464] Customer alleged that the patient fell out of the sling. He stated that there is nothing wrong with the sling. He stated he does not believe the caregiver had the patient in the sling correctly. The rep went into the facility and did an in-service and inspected the lift and all the slings and found no issue with any of the slings or lifts. Rep alleged that the patient is in the hospital. Rep stated that there is head trauma. No further information is known at this time. Update from 12/09/2015 added by consumer affairs: no end user information provided due to hipaa. No further information provided at this time.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1531186-2015-01057
MDR Report Key5284842
Date Received2015-12-10
Date of Report2015-12-04
Date of Event2015-12-03
Date Facility Aware2015-12-04
Report Date2015-12-09
Date Reported to FDA2015-12-09
Date Reported to Mfgr2015-12-09
Date Added to Maude2015-12-10
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameFULL BODY SLING SOLID MEDIUM 9153632095
Generic NameSLING, OVERHEAD SUSPENSION, WHEELCHAIR
Product CodeINE
Date Received2015-12-10
Model NumberR112
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerNEW PROKIN
Manufacturer AddressZHONGSHAN CH


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2015-12-10

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