BEUDAMED
    FDA Adverse Event Injury Summary report: N

    Medline

    MDR report key: 15272538 · Received August 22, 2022

    Report

    Report Number
    1417592-2022-00145
    Event Type
    Injury
    Date Received
    August 22, 2022
    Date of Event
    July 21, 2022
    Report Date
    August 22, 2022
    Manufacturer
    MEDLINE INDUSTRIES LP
    Product Code
    FSA
    UDI-DI
    10888277177673
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    ACCORDING TO THE FACILITY ON (B)(6) 2022 WHILE TRANSFERRING A PATIENT FROM THEIR BED TO THEIR CHAIR THE SLING STRAPS SNAPPED AND THE PATIENT FELL ONTO THE TILE FLOOR. PER THE FACILITY, 911 WAS CALLED AND THE PATIENT WAS TRANSFERRED TO THE EMERGENCY ROOM WHERE THEY PERFORMED IMAGING ON THE PATIENT'S HIPS, PELVIS, ELBOW, RIBS, AND CHEST. ACCORDING TO THE FACILITY THE IMAGING SHOWED A FRACTURE OF THE '8TH RIB'. THE PATIENT WAS NOT ADMITTED TO THE HOSPITAL AND IS REPORTED TO BE DOING 'STABLE'. THE DEVICE WAS PURCHASED IN (B)(6) 2021 FROM MEDLINE AND HAS BEEN REQUESTED TO BE RETURNED FOR EVALUATION. NO ADDITIONAL INFORMATION IS AVAILABLE. DUE TO THE REPORTED INCIDENT AND IN AN ABUNDANCE OF CAUTION, THIS MEDWATCH IS BEING FILED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED OR OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED.

    Description of Event or Problem · 0

    ACCORDING TO THE FACILITY ON (B)(6) 2022 WHILE TRANSFERRING A PATIENT FROM THEIR BED TO THEIR CHAIR THE SLING STRAPS SNAPPED AND THE PATIENT FELL ONTO THE TILE FLOOR. PER THE FACILITY, 911 WAS CALLED AND THE PATIENT WAS TRANSFERRED TO THE EMERGENCY ROOM WHERE THEY PERFORMED IMAGING ON THE PATIENT'S HIPS, PELVIS, ELBOW, RIBS, AND CHEST. ACCORDING TO THE FACILITY THE IMAGING SHOWED A FRACTURE OF THE '8TH RIB'.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2493114 Medline SLING,USHAPED,PAD,HDSUP,450 LB,LRG, EA FSA MEDLINE INDUSTRIES LP MDSMPHS3 52SH170001 10888277177673

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Male Required Intervention