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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: UNKNOWN FULL BODY SLING SOLID LARGE 9153632096; SLING, OVERHEAD SUSPENSION, WHEELCHAIR

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UNKNOWN FULL BODY SLING SOLID LARGE 9153632096; SLING, OVERHEAD SUSPENSION, WHEELCHAIR Back to Search Results
Model Number R113
Device Problems Device Reprocessing Problem (1091); Material Discolored (1170); Material Frayed (1262); Torn Material (3024)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Type  malfunction  
Event Description
The caller states that while lifting the patient, the strap on one side shredded and tore like paper.The caller states this almost caused the patient to be dropped.The caller believes the unit was bought in 2013.The caller states that they use an outside laundry service, and they have turned the slings to a pink color from the dark color, due to possible bleaching.No further information available.
 
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Brand Name
FULL BODY SLING SOLID LARGE 9153632096
Type of Device
SLING, OVERHEAD SUSPENSION, WHEELCHAIR
Manufacturer (Section D)
UNKNOWN
OH
Manufacturer (Section G)
UNKNOWN
OH
Manufacturer Contact
kevin guyton
one invacare way
elyria, OH 44036
8003336900
MDR Report Key4420149
MDR Text Key5376740
Report Number1525712-2015-00349
Device Sequence Number1
Product Code FNG
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Distributor
Reporter Occupation Medical Equipment Company Technician/Representative
Type of Report Initial
Report Date 01/05/2015
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 Operator Lay User/Patient
Device Model NumberR113
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 01/05/2015
Initial Date FDA Received01/15/2015
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
Patient Outcome(s) Other;
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