BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDI-LIFTER 4

    MDR report key: 1913736 · Received November 24, 2010

    Report

    Report Number
    9681684-2010-00052
    Event Type
    Injury
    Date Received
    November 24, 2010
    Date of Event
    October 28, 2010
    Report Date
    October 28, 2010
    Manufacturer
    BHM MEDICAL, INC.
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    BASED ON THE INITIAL INFO, THE MANUFACTURER BELIEVES THAT THE INCIDENT COULD BE THE RESULT OF AN INADEQUATE MANEUVER OF THE LIFT. FURTHER INFO WILL BE PROVIDED UPON CONCLUSION OF THE MANUFACTURER'S INVESTIGATION.

    Description of Event or Problem · 1

    STAFF WAS IN PROCESS OF TRANSFERRING A RESIDENT FROM A BED TO A CHAIR. AS THE STAFF MEMBER WAS PULLING ON THE SLING, THE LEFT LEG OF THE LIFT CAUGHT THE BOTTOM BASE OF THE BED. WITH ONE STAFF MEMBER PULLING THE LIFT AND THE OTHER STAFF MEMBER TRYING TO TURN THE LIFT, THE LEFT LEG OF THE LIFT WAS HITTING THE BASE OF THE BED. THE FORCE WAS ENOUGH TO STOP THE LIFT FROM TURNING TO THE LEFT BUT THE WEIGHT OF THE RESIDENT IN THE SLING, STILL BEING PULLED, WAS ENOUGH TO CAUSE THE LIFT TO TIP OVER. THE RESIDENT WAS ASSISTED BY THE STAFF DURING HIS FALL TO THE FLOOR BUT HE SUSTAINED A CUT TO THE UPPER LEFT LEG THAT REQUIRED THREE STAPLES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDI-LIFTER 4 LIFT, PATIENT, NON AC POWERED FSA BHM MEDICAL, INC. 87011001

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention