SINGLE PATIENT USE GAIT BELT 6556

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-06-20 for SINGLE PATIENT USE GAIT BELT 6556 manufactured by Posey Product Llc.

Event Text Entries

[78146192] (b)(4). Historical data found similar results of "slippage", however the reported issue could not be confirmed. Internal investigations found the device functions as expected and does not slip if all the application instructions are followed. At this time there is no evidence that a manufacturing non-conformity contributed to the reported issue, and the instructions for use were reviewed and determined to provide adequate instructions and warnings for the safe and effective use of the device. Therefore, no corrective or preventative actions are necessary. The ifu states: "always inspect before each use: check for broken stitches or parts; torn, cut or frayed material; or buckles that are cracked or broken and do not hold securely. Never use soiled or damaged products. " 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). Product will not be returned.
Patient Sequence No: 1, Text Type: N, H10


[78146193] Customer reported the gait belt becomes loose when in use with a patient. The gait belt is no longer snug. The date the issue was discovered is unknown and no patient injuries were reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2020362-2017-00031
MDR Report Key6655923
Date Received2017-06-20
Date of Report2017-05-26
Date Mfgr Received2017-05-26
Date Added to Maude2017-06-20
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPHYSICAL THERAPIST
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
Removal Correction NumberNA
Event Type3
Type of Report0

Device Details

Brand NameSINGLE PATIENT USE GAIT BELT
Generic NameAID, TRANSFER
Product CodeIKX
Date Received2017-06-20
Model Number6556
Catalog Number6556
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerPOSEY PRODUCT LLC
Manufacturer Address5635 PECK RD. ARCADIA CA 91006 US 91006


Patients

Patient NumberTreatmentOutcomeDate
10 2017-06-20

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