BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LIFT

    MDR report key: 10960 · Received January 18, 1994

    Report

    Report Number
    MW1000399
    Event Type
    Injury
    Date Received
    January 18, 1994
    Date of Event
    December 1, 1993
    Report Date
    January 3, 1994
    Manufacturer
    ARJO CENTURY, INC.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    LIFT DEFECT OF PIVOT ARM CAUSED PT TO BE DROPPED. LUCKILY STAFF AND WHEELCHAIR WERE CLOSE BY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFT FSA ARJO CENTURY, INC. 212000-06

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Required Intervention