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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDLINE INDUSTRIES, INC. QUICK RELEASE LIMB HOLDER; RESTRAINT, PROTECTIVE

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MEDLINE INDUSTRIES, INC. QUICK RELEASE LIMB HOLDER; RESTRAINT, PROTECTIVE Back to Search Results
Lot Number 84322020042
Device Problem Defective Device (2588)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 08/18/2022
Event Type  malfunction  
Event Description
When patient checked on by respiratory, patient hand touching ett holder.Upon further assessment, noted restraint to be tied to bed appropriately; however, patient pulled wrist out of restraint.Difficulty getting restraints safely in place without restraints being too tight and hurting patient wrist.Manufacturer response for medline quick release limb holder, (brand not provided) (per site reporter), recently we have had a ton of incident reports pertaining to the new medline restraints failing.We had a call with medline last week to explain our issues and they are currently investigating and are planning a return trip to the hospital to educate nursing again.After about 5 more reports came in today, we are more concerned.No patient or caregiver harm has ensued yet, but this is a huge safety risk.I am working with the supply chain to have another call with medline and ask that they either replaced the lot numbers with.
 
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Brand Name
QUICK RELEASE LIMB HOLDER
Type of Device
RESTRAINT, PROTECTIVE
Manufacturer (Section D)
MEDLINE INDUSTRIES, INC.
one medline pl
mundelein IL 60060
MDR Report Key15264929
MDR Text Key298310668
Report Number15264929
Device Sequence Number1
Product Code FMQ
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 08/11/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Lot Number84322020042
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? Yes
Date Report Sent to FDA08/11/2022
Event Location Hospital
Date Report to Manufacturer08/22/2022
Initial Date Manufacturer Received Not provided
Initial Date FDA Received08/22/2022
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
Patient Age22265 DA
Patient SexFemale
Patient RaceWhite
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