BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DRIVE

    MDR report key: 7365635 · Received March 22, 2018

    Report

    Report Number
    MW5076017
    Event Type
    Injury
    Date Received
    March 22, 2018
    Date of Event
    March 15, 2018
    Report Date
    March 21, 2018
    Manufacturer
    MEDICAL DEPOT INC. / DRIVE DEVILBISS HEALTHCARE
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    RESIDENT BEING TRANSFER OOB TO HER CARE FOAM CHAIR WITH AN INVACARE FULL MECHANICAL LIFT. RESIDENT HOISTED ABOVE BED IN LIFT SLING. SLING IN USE WAS A DRIVE MANUFACTURED SLING. SLING ATTACHED WITH ALL 4 STEPS TO LIFT. SLING CHECKED FOR DEFICITS BY STAFF PRIOR TO USE, NONE FOUND. RESIDENT MOVED TOWARDS CHAIR IN LIFT, STRAP ABOVE RIGHT SHOULDER RIPPED APART FROM SLING AND RESIDENT FELL TO FLOOR. INJURY OCCURRED WITH LARGE LACERATION TO RIGHT ARM. RESIDENT SENT TO ER FOR TREATMENT. ALL XRAYS NEGATIVE FOR FRACTURE, BUT DID RECEIVE SUTURES TO REPAIR LACERATION TO RIGHT ARM. DIAGNOSIS OR REASON FOR USE: NONAMBULATORY AND UNABLE TO PERFORM SAFE STAND OR TRANSFER. "IS THE PRODUCT COMPOUNDED: NO, IS THE PRODUCT OVER-THE-COUNTER: NO."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    204182 DRIVE LIFT SLING FSA MEDICAL DEPOT INC. / DRIVE DEVILBISS HEALTHCARE 1322

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Hospitalization