• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DEVILBISS HEALTHCARE PLASTIC BATH TRANSFER BENCH ; ADAPTOER, HYGIENE

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

DEVILBISS HEALTHCARE PLASTIC BATH TRANSFER BENCH ; ADAPTOER, HYGIENE Back to Search Results
Model Number 12011KD-1
Device Problems Corroded (1131); Product Quality Problem (1506)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 06/22/2019
Event Type  No Answer Provided  
Event Description
My wife is disabled from a stroke and needs a bath transfer bench to shower.This bench requires two legs outside the tub and two legs inside the tub.My wife sits on the bench, moves her legs inside the tub and then slides over to shower.I assist her with this, and for many years, i used a bench manufactured by "drive medical" located in (b)(4).I never had an issue with this transfer bench.After many years of using the bench, on (b)(6) 2018, i purchased the exact same bench as a replacement.I purchased a transfer bench made by drive medical from (b)(6).The bench product code: 12011kd-1.Info on the frame reads: (b)(4).A product code on the frame reads: 5b1709016812.Recently, i noticed that the legs inside the tub began to rust.At first, the rust appeared where the bench legs attach to the rubber suction cups that keep the bench secure inside the tub when using.Then, i noticed that rust appeared where the legs attach to the bench seat at the frame joints.I found this very alarming and a definite safety issue.The thought of the seat or bench legs collapsing while helping my wife was very disturbing for me.On (b)(6) 2019, i logged on to the (b)(6) website.My (b)(6) order number was: (b)(6).Their return policy states 30 days.(b)(6) makes it very difficult to contact them directly.(b)(6) also states that "hygiene" products cannot be returned.I then contacted drive medical customer support via email.I took three (b)(6) photos showing the rusting areas and included them in my email.I also explained the circumstances of when i purchased the item and the safety concerns i had using it with my wife.I received the below response.Purchase date: (b)(6) 2019.(b)(4).
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
PLASTIC BATH TRANSFER BENCH
Type of Device
ADAPTOER, HYGIENE
Manufacturer (Section D)
DEVILBISS HEALTHCARE
MDR Report Key8785868
MDR Text Key151299841
Report NumberMW5088068
Device Sequence Number1
Product Code ILS
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 07/11/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received07/11/2019
Is this an Adverse Event Report? No
Is this a Product Problem Report? No
Device Operator No Information
Device Model Number12011KD-1
Was Device Available for Evaluation? Yes
Was Device Evaluated by Manufacturer? No Information
Type of Device Usage N
Patient Sequence Number1
Patient Age69 YR
-
-