FDA Adverse Event
Injury
Summary report: N
MEDIUM MULTI-PURPOSE SLING, KNIT STYLE
MDR report key: 3964229
·
Received July 14, 2014
Report
- Report Number
- 3007802293-2014-00020
- Event Type
- Injury
- Date Received
- July 14, 2014
- Date of Event
- June 18, 2014
- Report Date
- July 11, 2014
- Product Code
- FSA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
THE SLING WILL NOT BE RETURNED TO THE MANUFACTURER BECAUSE THE INCIDENT WAS DUE TO USER ERROR. A STAFF SENIOR SAFE PATIENT HANDLING CONSULTANT IS IN CONTACT WITH THE FACILITY TO ADMINISTER FURTHER TRAINING.
Description of Event or Problem · 1
TWO STAFF WERE USING A MEDIUM MULTI-PURPOSE SLING WITH A MEDCARE FLOOR LIFT TO TRANSFER A PATIENT. THE PATIENT FELL FEET FIRST OUT OF THE SLING. THE PATIENT FELL OUT FORWARD BECAUSE SHE WAS NOT POSITIONED CORRECTLY. THE PATIENT WENT IN FOR AN X-RAY AND IT WAS FOUND THAT SHE FRACTURED HER RIGHT TIBIA/FIBULA, LEFT FEMUR, AND PUBIC RAMI.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 410054 | MEDIUM MULTI-PURPOSE SLING, KNIT STYLE | MULTI-PURPOSE KNIT SLING | FSA | 400025 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 90 YR | Hospitalization |