EZ CLEAN ECONOMY GAIT BELT 6545

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2017-05-17 for EZ CLEAN ECONOMY GAIT BELT 6545 manufactured by Posey Company.

Event Text Entries

[75368322] 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).
Patient Sequence No: 1, Text Type: N, H10


[75368323] 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.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2020362-2017-00020
MDR Report Key6572985
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2017-05-17
Date of Report2017-04-24
Date Mfgr Received2017-04-24
Device Manufacturer Date2017-03-08
Date Added to Maude2017-05-17
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactWILLIAM HINCY
Manufacturer StreetPOSEY COMPANY 5635 PECK ROAD
Manufacturer CityARCADIA CA 91006
Manufacturer CountryUS
Manufacturer Postal91006
Manufacturer Phone6264433143
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameEZ CLEAN ECONOMY GAIT BELT
Generic NameAID, TRANSFER
Product CodeIKX
Date Received2017-05-17
Model Number6545
Catalog Number6545
Lot NumberUNK
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerPOSEY COMPANY
Manufacturer Address5635 PECK RD. ARCADIA CA 91006 US 91006


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-05-17

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