BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SAF-LIFT

    MDR report key: 241223 · Received September 22, 1999

    Report

    Report Number
    1419652-1999-00008
    Event Type
    Injury
    Date Received
    September 22, 1999
    Date of Event
    July 10, 1999
    Report Date
    September 21, 1999
    Manufacturer
    ARJO MFG CO.
    Product Code
    FSA
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    RESIDENT WAS SITTING IN A RAISED SAF-LIFT, THE BASE PLATE ON THE SAF-LIFT FRACTURED IN ALL FOUR CORNERS AND RESIDENT FELL OFF THE LIFT. INJURED SUFFERED A FRACTURED HIP, LACERATION TO RIGHT LEG AND CONTUSIONS.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR