inforMED
InjuryINE

FULL BODY W/COMMODE MESH XLRG 9153632099

Received Jan 22, 2016

Report 1531186-2016-00002 · MDR key 5385759

Device

Generic name

Sling, Overhead Suspension, Wheelchair

Manufacturer

New Prokin

Model number

R116

Product problems

  • Break
  • Device Operates Differently Than Expected
  • Break
  • Device Operates Differently Than Expected

Patient

Not reported

  • Laceration(s)
  • Laceration(s)

Narrative

Description of Event or Problem

THE FACILITY REP STATES THE SLING CAME APART WHERE THE HANDLE ATTACHES TO THE SLING. THE FACILITY REP STATES THERE WAS A CONSUMER IN THE SLING, AND THE END USER FELL OUT OF THE SLING AND WAS INJURED. THE REP STATES THE END USER HAD A LACERATION TO HIS RIGHT SHOULDER AND HAD TO RECEIVE STITCHES AT THE ER. UPDATE FROM 01/15/2016 ADDED BY CONSUMER AFFAIRS: SLING HAS BEEN SET UP TO RETURN AND HAS BEEN REPLACED. NO LOT NUMBER ON THE TAG AVAILABLE. END USER RECEIVED MEDICAL TREATMENT AND IS IN GOOD CONDITION. NO FURTHER INFORMATION WILL BE PROVIDED DUE TO HIPAA.