FDA Adverse Event Malfunction Summary report: N

EASYSTAND STRAPSTAND

MDR report key: 3748051 · Received January 24, 2014

Report

Report Number
2183634-2014-00001
Event Type
Malfunction
Date Received
January 24, 2014
Date of Event
January 7, 2014
Report Date
January 7, 2014
Manufacturer
ALTIMATE MEDICAL, INC.
Product Code
ION
PMA / PMN Number
K885343
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SD, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

AFTER DISCUSSING THIS ISSUE FURTHER WITH THE FACILITY, IT WAS DETERMINED THAT THIS FACILITY HAS HAD THE STANDING FRAME FOR APPROXIMATELY 7 YEARS AND USES THE DEVICE ON A DAILY BASIS WITH 10 DIFFERENT RESIDENTS. IT IS ASSUMED THAT THE STITCHING CAME LOOSE ON THIS STRAP DUE TO AMOUNT OF TIME THAT THIS PRODUCT HAS BEEN USED. THE FACILITY STATED THAT OVERALL THE PRODUCT IS IN GOOD CONDITION AND THAT THEY WOULD LIKE TWO REPLACEMENT STRAPS DUE TO THE AMOUNT THAT THIS PRODUCT IS USED. ALTIMATE PROVIDED THE FACILITY WITH TWO REPLACEMENT STRAPS PER THEIR REQUEST.

Description of Event or Problem · 1

RECEIVED A CALL FROM A FACILITY THAT THE STITCHING CAME LOOSE ON THE LARGE STRAP, PART NO. 80719 ON THEIR EASYSTAND STRAPSTAND STANDING FRAME. THE FACILITY HAS HAD THE UNIT SINCE (B)(6) 2007 AND THEY USE THE UNIT EVERY DAY WITH APPROXIMATELY 10 DIFFERENT RESIDENTS. THE USER'S WHEELCHAIR IS POSITIONED UP TO THE STANDING FRAME SO IT'S AVAILABLE WHEN THE USER GOES BACK TO THE SEATED POSITION, THEREFORE, NO INJURIES WERE REPORTED WHEN THE STITCHING CAME LOOSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
56062 EASYSTAND STRAPSTAND 890.5370 ION ALTIMATE MEDICAL, INC. STRAPSTAND NA

Patients

Seq Age Sex Outcome Treatment
1