BEUDAMED
    FDA Adverse Event Injury Summary report: N

    V3 PORTABLE - UL

    MDR report key: 1266226 · Received December 12, 2008

    Report

    Report Number
    9681684-2008-00034
    Event Type
    Injury
    Date Received
    December 12, 2008
    Date of Event
    October 19, 2008
    Report Date
    December 12, 2008
    Manufacturer
    BHM MEDICAL, INC.
    Product Code
    FNG
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHILE TRANSFERRING THE RESIDENT FROM CHAIR TO BED, BOTH STRAPS CAME OFF THE LIFT. THE RESIDENT FELL ABOUT 24 INCHES ONTO THE BED. ONE STAFF MEMBER WAS PUSHING THE RESIDENT, AND THE OTHER WAS GOING AROUND TO THE END OF THE BED TO ASSIST IN POSITIONING THE RESIDENT OVER THE BED. NO INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 V3 PORTABLE - UL CEILING LIFT FNG BHM MEDICAL, INC. 981XXXX

    Patients

    Seq Age Sex Outcome Treatment
    1