FDA Adverse Event Summary report: N

BESTCARE

MDR report key: 4802392 · Received February 25, 2015

Report

Report Number
MW5042853
Date Received
February 25, 2015
Date of Event
November 26, 2014
Report Date
February 24, 2015
Manufacturer
BESTCARE LLC
Product Code
FSA
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
MA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

BESTCARE LIFT SLING FAILED AT TWO (2) POINTS DURING USE. THE FOOT END SLING CONNECTORS (LOOP STRAP) SNAPPED FROM THE SLING LIFT SHEET WHILE RESIDENT WAS BEING TRANSFERRED TO A WHEELCHAIR. INITIAL REPORTER: (B)(6). BECAME AWARE OF EVENT: (B)(6)2015. APPROXIMATE AGE OF DEVICE: UNKNOWN. REMEDIAL ACTION: REFUNDED. PRODUCT IS MANUFACTURED BY BESTCARE LLC. DISTRIBUTED BY (B)(4). PLEASE SEE FDA REPORT NUMBER# MW5040199.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
134557 BESTCARE BESTCARE # 78253 FSA BESTCARE LLC 78253

Patients

Seq Age Sex Outcome Treatment
1 Other