BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CLIP SLING

    MDR report key: 2111034 · Received April 21, 2011

    Report

    Report Number
    3004468271-2011-00022
    Event Type
    Malfunction
    Date Received
    April 21, 2011
    Date of Event
    March 20, 2011
    Report Date
    March 22, 2011
    Manufacturer
    MEDIBO MEDICAL PRODUCTS NV
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SP
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    ADDITIONAL INFORMATION WILL BE PROVIDED FOLLOWING THE CONCLUSION OF THE MANUFACTURER'S INVESTIGATION.

    Description of Event or Problem · 1

    SLING BROKE DURING MOBILIZATION, PATIENT FELL TO THE CHAIR FROM A SHORT DISTANCE. NO INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CLIP SLING SLING FSA MEDIBO MEDICAL PRODUCTS NV MAA2000-L

    Patients

    Seq Age Sex Outcome Treatment
    1 Other