FDA Adverse Event Other Summary report: N

MINSTREL

MDR report key: 2163482 · Received July 4, 2011

Report

Report Number
3004468271-2011-00030
Event Type
Other
Date Received
July 4, 2011
Date of Event
June 2, 2011
Report Date
June 6, 2011
Manufacturer
MEDIBO MEDICAL PRODUCTS NV
Product Code
FSA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT IS BEING FILED UNDER EXEMPTION (B)(4) BY ARJOHUNTLEIGH (B)(4) ON BEHALF OF THE MFG MEDIBO MEDICAL (B)(4). THIS WAS THE INITIAL USE OF THE SLING; IT IS UNK AT THIS TIME HOW LONG THE DEVICE HAS BEEN IN USE. THE CUSTOMER REPORTED THAT THE SLING BEING USED WAS SELECTED FOR THIS RESIDENT AFTER AN ASSESSMENT BY AN ARJOHUNTLEIGH SALES EXECUTIVE. ALTHOUGH AN INJURY DID NOT OCCUR, THE HOME PHYSIOTHERAPIST HAS JUDGED THAT THE SLING TYPE WAS INAPPROPRIATE FOR THE RESIDENT (THE SLING WAS MADE SPECIFICALLY FOR THE RESIDENT). ADD'L INFO WILL BE PROVIDED FOLLOWING THE CONCLUSION OF THE MFR'S INVESTIGATION.

Description of Event or Problem · 1

TWO CARERS WERE HOISTING THE RESIDENT FROM BED TO WHEELCHAIR AND AS THE MINSTREL DEVICE WAS MOVED AWAY FROM THE BED TOWARDS THE CHAIR, THE RESIDENT FELL THROUGH THE APERTURE IN THE SLING TO THE FLOOR (THE DISTANCE WAS APPROX ONE METER). THE RESIDENT LANDED ON HER BOTTOM. CARERS USED A DIFFERENT SLING TO PICK HER UP FROM THE FLOOR AND PUT HER BACK INTO BED FOR MONITORING. NO INJURIES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MINSTREL PASSIVE FLOOR LIFT FSA MEDIBO MEDICAL PRODUCTS NV HMA0007

Patients

Seq Age Sex Outcome Treatment
1 73 YR Other