BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAXI MOVE

    MDR report key: 1881831 · Received October 8, 2010

    Report

    Report Number
    9681684-2010-00039
    Event Type
    Malfunction
    Date Received
    October 8, 2010
    Date of Event
    September 16, 2010
    Report Date
    September 16, 2010
    Manufacturer
    BHM MEDICAL INC.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    ADDITIONAL INFO WILL BE PROVIDED UPON CONCLUSION OF THE MANUFACTURER'S INVESTIGATION.

    Description of Event or Problem · 1

    WHILE RAISING A PATIENT ON THE LIFT FOR A TRANSFER, THE LIFT DROPPED SUDDENLY, STRIKING THE PATIENT AND CAUSING THE PATIENT AND THE LIFTING PART TO DROP TO THE FLOOR. SHE WAS HOSPITALIZED AND X-RAYS WERE TAKEN; FACILITY REPORTS THAT NO INJURIES WERE SUFFERED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAXI MOVE LIFT, PATIENT, NON AC POWERED FSA BHM MEDICAL INC. KMCLUN-D

    Patients

    Seq Age Sex Outcome Treatment
    1 Other