BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAXI MOVE

    MDR report key: 1993126 · Received February 11, 2011

    Report

    Report Number
    9681684-2011-00013
    Event Type
    Malfunction
    Date Received
    February 11, 2011
    Date of Event
    January 5, 2011
    Report Date
    January 19, 2011
    Manufacturer
    BHM MEDICAL, INC.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NL
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

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

    Description of Event or Problem · 1

    DURING A LIFTING FROM A CHAIR WITH A FLOOR LIFT, THE FEELING WAS THE SLING CLIPS CAME LOOSE. THE FLOOR LIFT WAS LOWERED SLOWLY, CLIPS WERE ADJUSTED AND LIFTED AGAIN CAREFULLY. NO INJURIES WERE REPORTED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 Other