FDA Adverse Event Injury Summary report: N

SAF-LIFT/CENTURY MANUFACTURING CO.

MDR report key: 174437 · Received June 24, 1998

Report

Report Number
174437
Event Type
Injury
Date Received
June 24, 1998
Date of Event
January 19, 1998
Report Date
January 21, 1998
Manufacturer
ARJO INCORPORATED
Product Code
FSA
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
IA, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

PT BELTED INTO THE SAF-KARY, WAS BEING TRANSFERRED OUT OF THE WHIRLPOOL BATH WHEN THE SAF-KARY LOWER ARM BAR DETACHED FROM THE SAF-LIFT. THE SAF-LIFT WAS EXTENDED TO APPROX THE MAXIMUM HEIGHT WHEN PT AND THE SAF-KARY DROPPED INTO THE WHIRLPOOL. PT REC'D AN L-SHAPED LACERATION MEASURING 1.5 CM X 1.5 CM OVER HER RT UPPER JAW MID-CHEEK AREA. SHE ALSO LACERATED HER CORNEAL/SCLERA IN HER RT EYE. HER LEFT FOREARM REC'D A 3 CM SKIN TEAR. OPHTHAMOLOGIST REPAIRED BOTH RT CHEEK LACERATION AND CORNEAL/SCLERAL LACERATION. PT IS HEALING WELL AND FOLLOW-UP WILL BE CONTINUED WITH THE NECESSARY PHYSICIAN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SAF-LIFT/CENTURY MANUFACTURING CO. HYDRAULIC LIFT/PIN-SLOT LATCH FSA ARJO INCORPORATED SL-10 *

Patients

Seq Age Sex Outcome Treatment
1 92 YR Hospitalization| R