FDA Adverse Event Death Summary report: N

MAXI SKY 2

MDR report key: 11601292 · Received April 1, 2021

Report

Report Number
1419652-2021-00007
Event Type
Death
Date Received
April 1, 2021
Date of Event
February 26, 2021
Report Date
April 1, 2021
Manufacturer
ARJOHUNTLEIGH MAGOG INC.
Product Code
FSA
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ARJO WAS INFORMED ABOUT THE EVENT INVOLVING MAXI SKY 2 DEVICE AND SLING. IT WAS REPORTED THAT DURING PATIENT'S TRANSFER FROM A TROLLEY TO A CHAIR, THE SLING CAME OFF . THE CAREGIVER CAUGHT THE RESIDENT BEFORE THE FALL BUT THE RESIDENT RECEIVED BLOW TO THE HEAD. AT 11:30 A.M., THE RESIDENT HAS A SEIZURE SIMILAR TO EPILEPSY. THE ALERTED IDE NOTES A SUDDEN DETERIORATION OF THE RESIDENT'S HEALTH AND SHE ALERTED THE EMERGENCY SERVICES. 1:15 PATIENT PASSED AWAY. THERE WAS NO LINK WAS BEING ESTABLISHED BETWEEN THE BLOW TO THE HEAD (AT 9:30 A.M.) AND THE SEIZURE ( AT 11:30 A.M.). AN HEALTH, SAFETY, AND WORKING CONDITIONS COMMITTEE IS PLANNED IN THE NEXT WEEK. NO OTHER INFORMATION IS AVALIABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
498891 MAXI SKY 2 LIFT, PATIENT, NON-AC-POWERED FSA ARJOHUNTLEIGH MAGOG INC.

Patients

Seq Age Sex Outcome Treatment
1 Death