BEUDAMED
    FDA Adverse Event Death Summary report: N

    RELIANT 450

    MDR report key: 1744458 · Received June 29, 2010

    Report

    Report Number
    1744458
    Event Type
    Death
    Date Received
    June 29, 2010
    Date of Event
    June 16, 2010
    Report Date
    June 29, 2010
    Manufacturer
    INVACARE
    Product Code
    FNG
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    MA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ON (B)(6) 2010, AT APPROX 1:30 P.M., RESIDENT WAS BEING TRANSFERRED FROM THE BED TO THE CHAIR VIA MECHANICAL LIFT BY 2 C.N.A.S. WHILE TRANSFERRING, ONE C.N.A. WAS GUIDING THE RESIDENT'S LEGS AND THE OTHER PULLED THE LIFT FROM UNDER THE BED AND EXPANDED THE LEGS OF THE LIFT. ONE C.N.A. BENT DOWN TO MOVE A CORD THAT WAS PREVENTING THE LIFT FROM MOVING. WHEN SHE DID, THE CNA SAID SHE HEARD A SNAP AND THE LEFT LEG LOOP CAME OFF THE HOOK. THE RESIDENT BEGAN TO SLIDE OUT OF THE SLING AND THE C.N.A. TRIED TO BREAK HIS LANDING AS HE SLID ONTO THE FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RELIANT 450 HOIST FNG INVACARE RPA-450-1

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Death