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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARJOHUNTLEIGH POLSKA SP. Z O.O. SLINGS, LOOP; AID, TRANSFER

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ARJOHUNTLEIGH POLSKA SP. Z O.O. SLINGS, LOOP; AID, TRANSFER Back to Search Results
Model Number MLAAS2000-L
Device Problems Break (1069); Use of Device Problem (1670)
Patient Problem No Patient Involvement (2645)
Event Type  malfunction  
Manufacturer Narrative
(b)(4).An investigation was carried out into this complaint.Arjohuntleigh received a complaint where it was indicated that stitching inside of the yellow loop of the sling failed based on the information received.No injuries and no patient involvement was reported.When reviewing similar reportable events, we have found a number of cases with similar fault description (loop stitching inside loop failed).The trend observed for reportable complaints with this failure mode is currently considered to be low and stable.It has been established that the sling was not being used for patient handling at the time of the event.During our investigation the sling was found yellow loop stitching inside loop failed and was found to not have been to specification.The sling was not in use at the time for patient care and it did not cause or contribute to an adverse event, but it is the focus of our report and investigation.Tests carried out during the development of the sling, and in current production on every sling manufactured, would indicate the stitching of the loops meets the oem specification.A proper inspection of the sling should have detected the failure of this sling, especially since one of attachment points of the loop was broken.Therefore, the sling showing signs of unstitching, should be withdrawn and replaced.After reviewing the complaint it comes forward that the loop breakage appears most likely to occur as follows: as the pressure on the sling loop, in the opposite direction of that experienced in normal use which can be caused by the caregiver pulling the loops that way by hand, or, a much higher strain, where the loop/sling becoming caught in an obstruction.This appears to be an indication of the loop being broken due to the application of outside force that causes the break.Since the loop break is indicated to have occurred outside of use, it may have been caused even by becoming stuck during the mechanical washing or drying process.After this review, we can state the event outcome of the breaking off the loop, is not likely to happen when following the device labeling or the instructions for use (ifu).The sling is not likely to fail during the intended, correct use as described in the ifu, but that a failure can occur during a use error.We find it likely that the loop broke due to the loop suffering stress that is not likely to be encountered during on label use.We find this complaint to be reportable to the competent authorities in the abundance of caution.
 
Event Description
On 22 dec 2016 arjohuntleigh received a complaint where it was indicated that stitching inside of the yellow loop of the sling failed based on the photographic evidences received.No injuries and no patient involvement was reported.
 
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Brand Name
SLINGS, LOOP
Type of Device
AID, TRANSFER
Manufacturer (Section D)
ARJOHUNTLEIGH POLSKA SP. Z O.O.
ul. ks. piotra wawrzyniaka 2
komorniki, PL-62 052
PL  PL-62052
Manufacturer (Section G)
ARJOHUNTLEIGH POLSKA SP. Z O.O.
ul. ks. piotra wawrzyniaka 2
komorniki, PL-62 052
PL   PL-62052
Manufacturer Contact
kinga stolinska
ks. wawrzyniaka 2
komorniki, 62-05-2
PL   62-052
4869828246
MDR Report Key6259652
MDR Text Key65096907
Report Number3007420694-2017-00012
Device Sequence Number1
Product Code IKX
Combination Product (y/n)N
Reporter Country CodeNL
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,user f
Reporter Occupation Other
Remedial Action Inspection
Type of Report Initial
Report Date 01/18/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/18/2017
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other Caregivers
Device Model NumberMLAAS2000-L
Was Device Available for Evaluation? Yes
Was the Report Sent to FDA? Yes
Date Report Sent to FDA01/18/2017
Distributor Facility Aware Date12/22/2016
Event Location Nursing Home
Date Report to Manufacturer01/18/2017
Date Manufacturer Received12/22/2016
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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