BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INVACARE RELIANT 450

    MDR report key: 1172825 · Received July 25, 2008

    Report

    Report Number
    1172825
    Event Type
    Injury
    Date Received
    July 25, 2008
    Date of Event
    July 11, 2008
    Report Date
    July 24, 2008
    Manufacturer
    INVACARE LINAK U.S. INC.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    KS, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    AN INVACARE RELIANT 450 FULL BODY SLING LIFT WAS BEING USED TO TRANSFER A NON-WEIGHT BEARING PT FROM THE BED TO CHAIR. THE BOLT THAT ATTACHES THE SLING HARDWARE TO THE MECHANICAL LIFT ARM HAD WORKED ITS WAY OUT, AND THE PT AND SLING ASSEMBLY DETACHED, AND BOTH FELL TO THE FLOOR. THE NUT THAT ATTACHED THE SLING ASSEMBLY HAD FALLEN OFF. NO COTTER KEY ON SAFETY WIRE TO KEEP IT SECURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INVACARE RELIANT 450 FULL BODY PATIENT LIFT FSA INVACARE LINAK U.S. INC. RPL-450-1

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR Hospitalization| L| O