FDA Adverse Event
Malfunction
Summary report: N
MEDLINE WRIST/ANKLE LIMB HOLDER W/ LOCK
MDR report key: 23545454
·
Received November 12, 2025
Report
- Report Number
- MW5178861
- Event Type
- Malfunction
- Date Received
- November 12, 2025
- Date of Event
- November 6, 2025
- Report Date
- November 11, 2025
- Manufacturer
- MEDLINE INDUSTRIES, LP - NORTHFIELD
- Product Code
- FMQ
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- OH, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PATIENT BEING MONITORED IN RM AND WAS PLACED IN MEDLINE TWICE AS TOUGH RESTRAINTS FOR SAFETY. PATIENT ABLE TO HIT RESTRAINT MULTIPLE TIMES ON BEDFRAME, WITH MINIMAL EFFORT AND STRENGTH, AND THE TWICE AS TOUCH MENTAL RESTRAINT CLASP/LOCKING MECHANISM WOULD BREAK OPEN. REPLACED THE RESTRAINS AND TRIED ANOTHER SET AND PATIENT WAS ABLE TO BREAK FREE AGAIN. PATIENT BROKE OUT OF ALL RESTRAINTS (WRISTS AND ANKLES) MULTIPLE TIMES BY HITTING AGAINST THE BED UNTIL METAL LOCK FAILED AND BROKE OPEN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1922938 | MEDLINE WRIST/ANKLE LIMB HOLDER W/ LOCK | RESTRAINT, PROTECTIVE | FMQ | MEDLINE INDUSTRIES, LP - NORTHFIELD | MDT829098W | 3302505001 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 35 YR | Male | Other |