BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PROFESSIONAL ASSISTANCE LIFT

    MDR report key: 10973 · Received January 18, 1994

    Report

    Report Number
    MW1000417
    Event Type
    Malfunction
    Date Received
    January 18, 1994
    Date of Event
    November 13, 1993
    Report Date
    December 23, 1993
    Manufacturer
    SUNRISE MACHINE AND TOOL, INC.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT WAS BEING TRANSFERRED FROM RECLINER TO BED USING LIFT. LIFT WAS REPOSITIONED BY MEDICAL AIDES TO SLIDE UNDERNEATH BED WHEN A SNAP WAS HEARD AND PT FELL TO FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PROFESSIONAL ASSISTANCE LIFT FSA SUNRISE MACHINE AND TOOL, INC. PL 150 (OR) HL 150

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Other