MAUDE MDR 6572985

MDR report key
6572985
Report number
2020362-2017-00020
Event key
0
Event type
3
Date received
2017-05-17
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
WILLIAM HINCY
Address
POSEY COMPANY 5635 PECK ROAD ARCADIA CA 91006 US
Phone
626-626-6264
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1EZ CLEAN ECONOMY GAIT BELTAID, TRANSFERPOSEY COMPANYIKX65456545UNKY Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12017-05-1701. O

Event Narratives#

N

Patient 1

THE RETURNED DEVICE WAS EVALUATED FOLLOWING THE INSTRUCTIONS FOR USE AND ALL FUNCTIONAL SPECIFICATIONS WERE MET. THE CAM BUCKLE HAS NO SHARP EDGES THAT COULD CONTRIBUTE TO THE REPORTED ISSUE AS THE EDGES ARE ROUNDED, AND THE BACK SURFACE IS SMOOTH. THE LITERATURE OR INTENDED FOR USE FOR THIS PRODUCT INDICATES TO ADJUST THE BELT SO IT IS SNUG, BUT NOT UNCOMFORTABLE FOR THE PATIENT. IN ADDITION, THE CAREGIVER HAS TO MAKE SURE THAT HE/SHE CAN SLIDE HIS/HER OPEN HAND (FLAT) BETWEEN THE BELT AND PATIENT. SKIN TEAR ARE WIDELY SEEN IN ELDERLY INDIVIDUALS WHO'S SKIN IS ALREADY COMPROMISED DUE TO AGE AND/OR ILLNESS (CLINICAL MANAGEMENT (B)(6) 2013). ADDITIONALLY, THE IFU STATES "ALWAYS CHECK FOR SKIN INTEGRITY, PROPER CIRCULATION AND RANGE OF MOTION WHEN THE BELT IS IN USE. ENSURE THAT THE BELT IS SECURE AND DOES NOT COMPROMISE THE PATIENT?S MEDICAL CONDITION AND DOES NOT INTERFERE WITH TUBES, LINES OR OTHER EQUIPMENT." AT THIS TIME THERE IS NO EVIDENCE THAT A MANUFACTURING NON-CONFORMITY CONTRIBUTED TO THE REPORTED COMPLAINT, AND THE INSTRUCTIONS FOR USE WERE REVIEWED AND DETERMINED TO PROVIDE ADEQUATE INSTRUCTIONS AND WARNINGS FOR THE SAFE AND EFFECTIVE USE OF THE DEVICE. A REVIEW OF THE COMPLAINT DATABASE DID NOT REVEAL ANY SIMILAR ALLEGATIONS. THEREFORE, NO CORRECTIVE OR PREVENTATIVE ACTIONS ARE NECESSARY. ALL COMPLAINTS ARE TRENDED AND REVIEWED BY MANAGEMENT ON A MONTHLY BASIS. AS PART OF THIS MONTHLY REVIEW, ANY EXCURSION ABOVE THE CONTROL LIMITS FOR THIS FAILURE MODE WILL BE ASSESSED, DOCUMENTED AND ACTED UPON AS WARRANTED. (B)(4).

D

Patient 1

CUSTOMER ALLEGED THE GAIT BELT CLASP IS CAUSING SKIN TEARS. THE ALLEGATION WAS BASED ON HEARSAY BETWEEN SISTER HOSPITALS AND NO ACTUAL EVIDENCE (PICTURES OR MEDICAL RECORDS) WERE PROVIDED AND NO ONE WITH DIRECT KNOWLEDGE OF THE EVENT WAS AVAILABLE TO CONFIRM THE EVENT. IN ADDITION, THE REPORTED SERIOUS INJURY COULD NOT BE CONFIRMED. THE DATE THE ISSUE WAS DISCOVERED IS NOT KNOWN.