BEUDAMED
    FDA Adverse Event Death Summary report: N

    GULDMANN GH3 CEILING LIFT

    MDR report key: 10008785 · Received April 28, 2020

    Report

    Report Number
    MW5094289
    Event Type
    Death
    Date Received
    April 28, 2020
    Date of Event
    April 20, 2020
    Report Date
    April 27, 2020
    Manufacturer
    GULDMANN, INC. / V. GULDMANN A/S
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    ND, US
    Reporter Occupation
    501

    Narratives

    Description of Event or Problem · 1

    ON (B)(6) 2020, RESIDENT WAS BEING TRANSFERRED WITH A CEILING LIFT BY TWO STAFF MEMBERS. WHILE UNDER OPERATION WITH THE RESIDENT IN THE SLING, THE LIFT DETACHED FROM THE CEILING TRACK AND RESIDENT FELL TO THE GROUND. RESIDENT PASSED AWAY A SHORT TIME LATER. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    471777 GULDMANN GH3 CEILING LIFT LIFT, PATEINT, NON-AC-POWERED FSA GULDMANN, INC. / V. GULDMANN A/S 555237 BATCH NO. 0000045963

    Patients

    Seq Age Sex Outcome Treatment
    1 101 YR Death