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 |