CONNECTED TWICE-AS-TOUGH CUFFS 2794

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2019-03-22 for CONNECTED TWICE-AS-TOUGH CUFFS 2794 manufactured by Posey Products Llc.

Event Text Entries

[139705666] Customer confirmed the product was discarded and they will not be returning. Therefore, this complaint is based solely on the customer reported issue. Additional customer feedback is currently pending. 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. Instructions for use indicate; not to use this device on a patient who is or becomes; highly aggressive or combative; self-destructive; or deemed to be an immediate risk to others, unless the patient is under constant supervision. Instructions for use also indicate; severe psychological, or physical problems may occur: if the applied device is uncomfortable; or if it severely limits movement. If the patient is likely to cause injury to him/herself or others, get help from a qualified medical authority to find alternate intervention or method of restraint. 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. Manufacturer reference file #(b)(4). Product was discarded.
Patient Sequence No: 1, Text Type: N, H10


[139705667] Customer reported an adolescent patient somehow got her arms behind her back and above her head. The nurse attempted to reapply the restraint and a spring on the lock broke free and would not re-lock. The patient was not injured but the nurse was injured. The extent of the nurse's injury is currently unknown.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2020362-2019-00049
MDR Report Key8446464
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2019-03-22
Date of Report2019-02-25
Date of Event2019-02-24
Date Mfgr Received2019-02-25
Date Added to Maude2019-03-22
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
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 NameCONNECTED TWICE-AS-TOUGH CUFFS
Generic NameRESTRAINT, PROTECTIVE
Product CodeFMQ
Date Received2019-03-22
Model Number2794
Catalog Number2794
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerPOSEY PRODUCTS LLC
Manufacturer Address5635 PECK ROAD ARCADIA CA 91006 US 91006


Patients

Patient NumberTreatmentOutcomeDate
10 2019-03-22

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