BEUDAMED
    FDA Adverse Event Summary report: N

    MAXIMOVE

    MDR report key: 1852613 · Received September 28, 2010

    Report

    Report Number
    1852613
    Date Received
    September 28, 2010
    Date of Event
    August 7, 2010
    Report Date
    September 28, 2010
    Manufacturer
    ARJOHUNTLEIGH
    Product Code
    FNG
    Report Source
    User Facility report
    Reporter Location
    WI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PATIENT WAS BEING TRANSFERRED TO THE COMMODE BY PT/OT PHYSICAL THERAPY/OCCUPATIONAL THERAPY. ONCE PATIENT WAS LIFTED IN THE AIR THE MAXIMOVE WOULD NOT LOWER FROM THE REMOTE OR FROM THE CONTROLS ON THE LIFT. BATTERIES WERE EXCHANGED AND THAT DID NOT FIX PROBLEM. THE OTHER LIFT WAS BROUGHT IN AS A BACK UP. THE LIFT WAS TRIED AGAIN AND IT WORKED. STAFF FORGOT ABOUT THE EMERGENCY RELEASE.====================== HEALTH PROFESSIONAL'S IMPRESSION======================UNKNOWN - THE LIFT WAS TAKEN OUT OF SERVICE AND THE ARJO REP WAS CONTACTED. THE LIFT WAS INSPECTED, INFORMATION PROVIDED TO THE REP SO THAT HE COULD RELEASE THE LIFT BACK INTO SERVICE.====================== MANUFACTURER RESPONSE FOR ARJO MAXIMOVE, ARJO MAXIMOVE======================REP INSPECTED DEVICE, REQUESTED INFORMATION (FORM WAS COMPLETED AND RETURNED TO REP), REP NEEDED INFORMATION TO RELEASE THE LIFT BACK INTO SERVICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAXIMOVE ARJO MAXIMOVE FNG ARJOHUNTLEIGH KMBB4ELU2FUS *

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR NO OTHER THERAPIES