FDA Adverse Event Malfunction Summary report: N

TOLLOS CIRRUS 600 CEILING LIFT

MDR report key: 20938087 · Received December 16, 2024

Report

Report Number
20938087
Event Type
Malfunction
Date Received
December 16, 2024
Date of Event
December 1, 2024
Report Date
December 13, 2024
Manufacturer
1073849 ONTARIO LIMITED DBA TOLLOS
Product Code
FSA
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MD
Reporter Occupation
RISK MANAGER
Health Professional
N

Narratives

Description of Event or Problem · 0

THE IMAGING TECHNOLOGIST AND THE IMAGING TECHNOLOGIST AIDE CORRECTLY CONNECTED THE SLING MAT TO THE TOLLOS CEILING LIFT. THE PATIENT WAS SUCCESSFULLY TRANSFERRED ONTO THE CT TABLE USING THE TOLLOS LIFT. ONCE THE IMAGING WAS COMPLETED, THE SLING WAS CORRECTLY RE-CONNECTED TO THE TOLLOS CEILING LIFT. AS THE PATIENT WAS BEING LIFTING DIRECTLY UP, OFF OF THE CT TABLE THE STRAP BROKE, CAUSING THE PATIENT TO BE DROPPED BACK ONTO THE CT TABLE. THE PATIENT WAS STRUCK IN THE FACE WITH THE METAL LIFT ARM MECHANISM. DUE TO PATIENT¿S COMPLAINT OF NECK PAIN, A CT SCAN OF THE PATIENT¿S CERVICAL SPINE AND FACE WERE COMPLETED ALONG WITH UPRIGHT CERVICAL SPINE FILMS. NO ABNORMAL FINDINGS NOTED. THE PATIENT'S LACERATION ABOVE HER UPPER LIP WAS REPAIRED WITH DERMABOND. THE PATIENT HAD SEVERAL CHIPPED TEETH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2375007 TOLLOS CIRRUS 600 CEILING LIFT LIFT, PATIENT, NON-AC-POWERED FSA 1073849 ONTARIO LIMITED DBA TOLLOS CIRRUS 600 2253595

Patients

Seq Age Sex Outcome Treatment
1 84 YR Female Other