BEUDAMED
    FDA Adverse Event Death Summary report: N

    LIFT HYGIENE CHAIR

    MDR report key: 1215384 · Received October 28, 2008

    Report

    Report Number
    9611530-2008-00060
    Event Type
    Death
    Date Received
    October 28, 2008
    Date of Event
    September 1, 2008
    Report Date
    October 28, 2008
    Manufacturer
    ARJO HOSPITAL EQUIPMENT AB
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE FACILITY NOTIFIED ARJO IN 2008 OF AN INCIDENT AT THE FACILITY INVOLVING A LIFT HYGIENE CHAIR. THE EVENT OCCURRED IN 2006. THE CHAIR WAS BEING USED AS A SCALE WITH THE RESIDENT SITTING WITH THEIR BACK TO THE COLUMN OF THE LIFT. THE RESIDENT FELL FORWARD OFF THE LIFT AND WAS SLIGHTLY INJURED. THE RESIDENT SUBSEQUENTLY DIED. THE TYPE OF INJURIES SUSTAINED, AND THE DATE AND CAUSE OF DEATH WERE NOT KNOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFT HYGIENE CHAIR LIFT HYGIENE CHAIR FSA ARJO HOSPITAL EQUIPMENT AB CDBXXXX

    Patients

    Seq Age Sex Outcome Treatment
    1 Death