inforMED
InjuryIOY

PROCARE

Received Nov 5, 2014 · Event occurred Aug 26, 2014

Report 9616086-2014-00018 · MDR key 4241129

Device

Generic name

Universal Mesh Shoulder Immobilizer

Manufacturer

Djo, Llc

Model number

79-84350

Product problems

  • Patient-Device Incompatibility

Patient

Not reported

  • Hypersensitivity/Allergic reaction
  • Reaction

Narrative

Description of Event or Problem

COMPLAINT RECEIVED FORM PATIENT THAT ALLEGES "A PATIENT HAVE A SEVERE ALLERGIC REACTION TO THE SLING". QUESTIONNAIRE NOT RECEIVED FROM CLINICAL AND/OR PATIENT. DEVICE NOT RETURNED TO MANUFACTURER FOR EVALUATION. NO INDICATION EVENT CAUSED OR CONTRIBUTED TO PERMANENT IMPAIRMENT OR DEATH.