BEUDAMED
    FDA Adverse Event Death Summary report: N

    SAF LIFT

    MDR report key: 12569 · Received April 4, 1994

    Report

    Report Number
    MW1001460
    Event Type
    Death
    Date Received
    April 4, 1994
    Date of Event
    October 27, 1993
    Report Date
    March 30, 1994
    Manufacturer
    ARJO, INC.
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    ON 10/27/93, PT WAS PUT IN LOW BACK CHAIR TRANSFER LIFT AND GIVEN WHIRLPOOL. PT WAS THEN LIFTED OUT OF WHIRLPOOL AND SWUNG AWAY FROM TUB. AT THAT POINT, PT LEANED FORWARD, THE SINGLE WAIST BELT CAME COMPLETELY OFF, AND SHE FELL FOUR FEET DOWN TO THE TILE FLOOR, WHERE SHE LANDED FACE FIRST. PT SUSTAINED SEVERE HEAD INJURIES AND DIED A DAY LATER AS A RESULT OF CRAINIOCEREBRAL TRAUMA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SAF LIFT CHAIR TRANSFER LIFT FOR NURSING HOMES FSA ARJO, INC. SL-10

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Death