FDA Adverse Event
Death
Summary report: N
ERGOLIFT 600
MDR report key: 1630662
·
Received March 10, 2010
Report
- Report Number
- 9681684-2010-00008
- Event Type
- Death
- Date Received
- March 10, 2010
- Date of Event
- February 7, 2010
- Report Date
- February 8, 2010
- Manufacturer
- BHM MEDICAL, INC.
- Product Code
- FSA
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
ADD'L INFO WILL BE PROVIDED UPON CONCLUSION OF THE MANUFACTURER'S INVESTIGATION.
Description of Event or Problem · 1
A 2-PERSON TRANSFER WAS TAKING PLACE; WHILE POSITIONING A CHAIR FOR TRANSFER, THE BAR BECAME DETACHED. RESIDENT FELL TO THE FLOOR, HITTING THEIR HEAD ON A BED FRAME. RESIDENT EXPIRED DUE TO BLUNT TRAUMA A SHORT TIME LATER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ERGOLIFT 600 | MANUFACTURED FLOOR PASSIVE LIFT | FSA | BHM MEDICAL, INC. | ERGOLIFT-600 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 86 YR | Death |