BEUDAMED
    FDA Adverse Event Death Summary report: N

    GULDMANN LIFT MODEL CH3

    MDR report key: 10157555 · Received June 15, 2020

    Report

    Report Number
    MW5094994
    Event Type
    Death
    Date Received
    June 15, 2020
    Date of Event
    June 8, 2020
    Report Date
    June 11, 2020
    Manufacturer
    GULDMANN/V. GULDMANN A/S
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    DE, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    UPON ATTEMPTING TO LOWER THE LIFT THE CEILING-MOUNTED LIFT WOULD NOT MOVE UP OR DOWN. WHILE THE PATIENT WAS SUSPENDED UP IN THE LIFT, HE WAS AWAKE, ALERT AND HAD CONVERSATION WITH STAFF. ATTEMPT WAS MADE TO PULL "THE..." HOWEVER, NO RELEASE OF THE PATIENT OCCURRED. ATTEMPT WAS MADE TO PRESS THE RESET BUTTON HOWEVER, IT APPEARED TO BE JAMMED IN THE HOUSING OF THE LIFT SO THE LIFT COULD NOT BE LOWERED. A STRETCHER WAS RAISED IN ORDER TO RELEASE THE PATIENT FROM THE LIFT. ONCE LOWERED ONTO THE STRETCHER IT WAS NOTED THE PATIENT WAS UNRESPONSIVE. CPR WAS PERFORMED AND UNFORTUNATELY THE PATIENT COULD NOT BE RESUSCITATED AND PASSED AWAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    616642 GULDMANN LIFT MODEL CH3 LIFT, PATIENT, NON-AC-POWERED FSA GULDMANN/V. GULDMANN A/S C190834

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Death