BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MECHANICAL PATIENT LIFT

    MDR report key: 2216212 · Received February 7, 2007

    Report

    Report Number
    2132280-2007-00001
    Event Type
    Injury
    Date Received
    February 7, 2007
    Date of Event
    February 2, 2007
    Report Date
    February 6, 2007
    Manufacturer
    SUNRISE MACHINE AND TOOL, INC.
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    OUR REP INSPECTED THE LIFT AND LIKE THEIR MAINTENANCE PEOPLE, FOUND NOTHING BROKEN OR OUT OF SPEC.

    Description of Event or Problem · 1

    FALL FROM MECHANICAL PT LIFT RESULTING IN BILATERAL COMMINUTED DISTAL FEMORAL FRACTURES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL PATIENT LIFT FSA SUNRISE MACHINE AND TOOL, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 81 YR Hospitalization