BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AC-POWERED PATIENT LIFT

    MDR report key: 17526819 · Received August 12, 2023

    Report

    Report Number
    MW5133756
    Event Type
    Injury
    Date Received
    August 12, 2023
    Date of Event
    December 6, 2018
    Report Date
    December 17, 2018
    Manufacturer
    TOLLOS
    Product Code
    FNG
    Report Source
    Voluntary report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 0

    REPORTED THAT PATIENT WAS LIFTED FROM TRANSPORT STRETCHER TO BED. THE LIFT WENT UP FINE BUT WOULD NOT COME DOWN. STAFF ATTEMPTED TO USE CONTROLLER AND RED EMERGENCY PULL WITHOUT SUCCESSS. AFTER PULLING FOR A SHORT PERIOD, (LESS THAN ONE MINUTE), THE LIFT JUST DROPPED ABOU SIX INCHES AND HIT DARLENE IN THE FACE. ICE APPLIED, NO FURTHER AID REQUIRED. PATIENT EMOTIONALLY AFFECTED, BUT NOT INJURED. WERE THERE ANY INJURIES? YES. WAS MEDICAL ATTENTION REQUIRED? NO. WHAT WERE THE INJURIES?: BRUISING ON JAW/CHEEK. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2243484 AC-POWERED PATIENT LIFT LIFT, PATIENT, AC-POWERED FNG TOLLOS TOLLOS CIRRUS ELECTRIC CEILING LIFT

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown