FDA Adverse Event
Malfunction
Summary report: N
SWIFTHOOK
MDR report key: 10275467
·
Received July 15, 2020
Report
- Report Number
- 3009481053-2020-00012
- Event Type
- Malfunction
- Date Received
- July 15, 2020
- Date of Event
- June 17, 2020
- Report Date
- July 15, 2020
- Manufacturer
- HANDICARE AB
- Product Code
- FSA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SW
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE CODES ARE NOT ABLE TO BE INPUTTED VIA ESUBMITTER. I AM WORKING WITH ESUBMITTER SUPPORT TO RECTIFY THIS ISSUE. IN THE MEANTIME, THEY ARE LISTED BELOW: (B)(4).
Description of Event or Problem · 1
WHEN LIFTING THE PATIENT IN THE MORNING, THE SLING BAR DETACHED AND THE PATIENT LANDED ON THE FLOOR. THE PATIENT HAS GOT SEVERAL BRUISES AND PAIN IN THE TAILBONE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 743454 | SWIFTHOOK | PATIENT LIFT | FSA | HANDICARE AB | 70200008 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |