FDA Adverse Event Injury Summary report: N

INVACARE STAND ASSIST SLING

MDR report key: 7150672 · Received December 21, 2017

Report

Report Number
7150672
Event Type
Injury
Date Received
December 21, 2017
Date of Event
December 20, 2017
Report Date
December 21, 2017
Product Code
IKX
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
PA, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

STRAP ON STAND UP LIFT CAME LOOSE AND RESIDENT FELL, FX LEFT HUMERUS DURING TRANSFER. RESIDENT BEING TRANSFERRED WITH SIT TO STAND LIFT TO TOILET WHEN THE STRAP ON STAND ASSIST SLING CAME LOOSE AND BUCKLE BROKE OFF. REPLACED AND OLD SLING REMOVED IMMEDIATELY. LIFTS AND SLINGS CHECKED BY MAINTENANCE MONTHLY, LAST DATE CHECKED - (B)(6) 2017, DUE FOR CHECK ON (B)(6) , 2017. REPLACED SLING DUE TO MALFUNCTIONED. INVACARE PREMIER SLING STAND ASSIST. INO. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
920445 INVACARE STAND ASSIST SLING INVACARE STAND ASSIST SLING IKX

Patients

Seq Age Sex Outcome Treatment
1 92 YR Hospitalization