BEUDAMED
    FDA Adverse Event Other Summary report: N

    ARJO SAF-LIFT CHAIR

    MDR report key: 218899 · Received March 31, 1999

    Report

    Report Number
    1419652-1999-00002
    Event Type
    Other
    Date Received
    March 31, 1999
    Date of Event
    March 8, 1999
    Report Date
    March 31, 1999
    Manufacturer
    ARJO MFG CO
    Product Code
    FSA
    Report Source
    Manufacturer report
    Reporter Location
    KS, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RESIDENT WAS BEING TRANSPORTED FROM A SAF-LIFT CHAIR INTO A TUB, THE BASE OF THE SAF-LIFT CHAIR BROKE. RESIDENT RECEIVED BRUISES AND ABRASION FROM THE ACCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARJO SAF-LIFT CHAIR PT LIFT FSA ARJO MFG CO 20XXXX NA

    Patients

    Seq Age Sex Outcome Treatment
    1 94 YR