FDA Adverse Event Injury Summary report: N

NONE

MDR report key: 2142391 · Received June 21, 2011

Report

Report Number
1525712-2011-00278
Event Type
Injury
Date Received
June 21, 2011
Date of Event
May 23, 2011
Report Date
June 20, 2011
Manufacturer
INVACARE
Product Code
FNG
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

MEDICAL INTERVENTION SOUGHT DUE TO THE ALLEGED INCIDENT. TWO CNAS WERE PRESENT DURING A TRANSFER OF A RESIDENT FROM A BED. AS THEY STARTED TO LIFT THE RESIDENT USING (B)(4) LIFT, THEY PUT HER BACK ON THE BED TO REPOSITION HER. ALLEGEDLY, AT SOME POINT, DURING THE REPOSITIONING, ONE OF THE SLING STRAPS FOR SLING R113 BECAME DISLODGED FROM THE CRADLE. WHEN THEY LIFTED THE RESIDENT, THE SLING BECAME UNEVEN AND THE CRADLE SWUNG AND HIT THE MAST, CAUSING THE RESIDENT TO FALL TO THE FLOOR. THE RESIDENT ALLEGEDLY SUSTAINED A LACERATION TO THEIR HEAD. THE CNA'S LEVEL OF TRAINING AND DEVICE USAGE EXPERIENCE IS UNKNOWN.

Description of Event or Problem · 1

TWO CNAS WERE PRESENT DURING A TRANSFER OF A RESIDENT FROM A BED. AS THEY STARTED TO LIFT THE RESIDENT, THEY PUT HER BACK ON THE BED TO REPOSITION HER. AT SOME POINT, DURING THE REPOSITIONING, ONE OF THE SLING STRAPS ALLEGEDLY BECAME DISLODGED FROM THE CRADLE. WHEN THEY LIFTED THE RESIDENT, THE SLING BECAME UNEVEN AND THE CRADLE SWUNG AND HIT THE MAST, CAUSING THE RESIDENT TO FALL TO THE FLOOR. THE RESIDENT ALLEGEDLY SUSTAINED A LACERATION TO THEIR HEAD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NONE FNG INVACARE RPL600-1

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R