BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ALENTI

    MDR report key: 1040442 · Received May 8, 2008

    Report

    Report Number
    9611530-2008-00027
    Event Type
    Injury
    Date Received
    May 8, 2008
    Date of Event
    April 25, 2008
    Report Date
    May 8, 2008
    Manufacturer
    ARJO HOSPITAL EQUIPMENT AB
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    THE FACILITY REPORTS, THE LIFT CHAIR WAS IN THE RAISED POSITION. THE CAREGIVER WAS PREPARING TO MANEUVER THE LIFT CHAIR OVER THE TUB, WHEN THE FRONT CASTER FELL OFF. THE RESIDENT WAS WEARING THE SAFETY BELT, AND WAS THEREFORE, STILL SECURED TO THE CHAIR WHEN THE CHAIR FELL. THE RESIDENT HIT HIS ELBOW AND KNEE ON THE FLOOR AND SUSTAINED A LACERATION TO THE LEFT SIDE OF HIS HEAD. THE RESIDENT RECEIVED SUTURES TO CLOSE THE WOUND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALENTI LIFT HYGIENE CHAIR FSA ARJO HOSPITAL EQUIPMENT AB CDBXXXX

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention