BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AC-POWERED PATIENT LIFT

    MDR report key: 1698868 · Received May 21, 2010

    Report

    Report Number
    1525712-2010-00067
    Event Type
    Injury
    Date Received
    May 21, 2010
    Date of Event
    February 8, 2010
    Report Date
    May 18, 2010
    Manufacturer
    INVACARE
    Product Code
    FNG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THREE CAREGIVERS WERE REPORTEDLY TRANSFERRING A PT DURING THE ALLEGED INCIDENT. NO PT WEIGHT WAS PROVIDED. THE LIFT HAS BEEN IN SERVICE FOR NEARLY 6 YEARS WITH NO PRIOR ISSUES. THE USER ALLEGEDLY SUSTAINED MINOR BRUISES THAT REQUIRED NO MEDICAL TREATMENT. THE THREE CAREGIVERS SUSTAINED ALLEGED INJURIES. DETAILS OF CAREGIVERS ALLEGED INJURIES ARE UNKNOWN. NATURE OF COMPLAINT SUGGESTS A POTENTIAL TRANSFER ERROR. DEVICE SERVICE AND MAINTENANCE HISTORY IS UNKNOWN. MDR FILED BASED ON ALLEGED INJURIES TO THE CAREGIVERS.

    Description of Event or Problem · 1

    THE CUSTOMER ALLEGEDLY SUSTAINED MINOR INJURIES WHEN THE BOLT SHEARED OFF THE LIFT, CAUSING THE BOOM TO TWIST INWARDS AND THE LIFT COLLAPSED. THE THREE CAREGIVERS THAT WERE ASSISTING THE CONSUMER ALLEGEDLY SUSTAINED MINOR INJURIES WHEN THEY ATTEMPTED TO STOP THE CONSUMER FROM FALLING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AC-POWERED PATIENT LIFT 880.5500 FNG INVACARE RPA450-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention