BEUDAMED
    FDA Adverse Event Death Summary report: N

    VANDERLIFT 450

    MDR report key: 2012291 · Received February 25, 2011

    Report

    Report Number
    1933441-2011-00001
    Event Type
    Death
    Date Received
    February 25, 2011
    Date of Event
    January 21, 2011
    Report Date
    February 28, 2011
    Manufacturer
    VANCARE, INC.
    Product Code
    FSA
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    DISTRIBUTOR REPORT INCLUDED IN THIS REPORT. EVALUATION OF LIFT DONE AT FACILITY AND NOTES ATTACHED WITH FINDINGS AT THAT TIME. VANDERLIFT DID NOT HAVE A MECHANICAL MALFUNCTION. FACILITY REFUSED TO LET DISTRIBUTOR TAKE PICTURES OF SAID LIFT IN QUESTION AND SLING.

    Description of Event or Problem · 1

    CNA ATTACHED INVACARE SLING TO VANDERLIFT AND RESIDENT FELL OUT THE FRONT OF INVACARE SLING AND FELL AND LANDED ON HEAD. ADMINISTRATOR STATED, IT WAS NOT A MECHANICAL MALFUNCTION, AND NOT A SLING MALFUNCTION. TWO CNA'S DID THE TRANSFER OF THIS RESIDENT. AS STATED IN THE VANCARE MANUAL, YOU ARE TO USE ONLY VANCARE SLINGS ON VANDERLIFTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VANDERLIFT 450 VANDERLIFT 450 PATIENT LIFT FSA VANCARE, INC. 450

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Death