BEUDAMED
    FDA Adverse Event Other Summary report: N

    VANDERLIFT 450

    MDR report key: 1062391 · Received June 16, 2008

    Report

    Report Number
    1933441-2008-00003
    Event Type
    Other
    Date Received
    June 16, 2008
    Date of Event
    May 30, 2008
    Report Date
    June 16, 2008
    Manufacturer
    VANCARE, INC.
    Product Code
    FSA
    Report Source
    Manufacturer report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    DISTRIBUTOR DID IN-SERVICE TRAINING ON 6-12-08. VANDERLIFT WAS CHECKED OVER WHEN IN-SERVICE TRAINING WAS COMPLETED. (B) (4) STATED THAT SHE FELT THAT THE LIFT WAS NOT THE PROBLEM, BUT RATHER USER ERROR CONTRIBUTED TO EVENT.

    Description of Event or Problem · 1

    DISTRIBUTOR WAS NOTIFIED TWO WEEKS AFTER ACCIDENT HAPPENED. CNA WAS TRANSFERRING RESIDENT FROM HER BED TO A CHAIR, THE RESIDENT STARTED TO LEAN OUT OF SLING WITH HER UPPER BODY. CNA GRABBED RESIDENT AND PULLED HER BACK INTO THE SLING WHILE LOWERING THE LIFT. RESIDENT HAS A HISTORY OF POOR UPPER BODY CONTROL (SIDE TO SIDE). THE RESIDENT RECEIVED A BRUISE FROM THE COLLAR THAT THE EMT PLACED ON HER, THIS IS THE ONLY INJURY REPORTED. THE PT LIFT WAS NOT THE CAUSE OF THIS ACCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VANDERLIFT 450 VANDERLIFT 450 FSA VANCARE, INC. 450

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization