BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDI LIFT 4

    MDR report key: 2438130 · Received February 1, 2012

    Report

    Report Number
    9681684-2012-00007
    Event Type
    Other
    Date Received
    February 1, 2012
    Date of Event
    December 27, 2011
    Report Date
    January 3, 2012
    Manufacturer
    ARJOHUNTLEIGH MAGOG
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    THIS REPORT IS BEING FILED UNDER EXEMPTION (B)(4) BY ARJOHUNTLEIGH ON BEHALF OF THE MANUFACTURER ARJOHUNTLEIGH (B)(4). THE EVALUATION OF THE DEVICE TO DATE HAS BEEN CARRIED OUT BY A REPRESENTATIVE OF THE MANUFACTURER'S SALES AND SERVICE UNIT SUBSIDIARY DIVISION, NOT A DIRECT EMPLOYEE OF THE MANUFACTURER. ADDITIONAL INFORMATION WILL BE PROVIDED FOLLOWING THE CONCLUSION OF THE MANUFACTURER'S INVESTIGATION.

    Description of Event or Problem · 1

    TWO CNAS WERE MOVING A RESIDENT FROM A WHEELCHAIR TO BED USING A FLOOR LIFT AND A LOOP SLING. WHILE THE RESIDENT WAS LIFTED AND MOVED FROM THE FOOT OF THE BED TO THE SIDE OF THE BED AND POSITIONED OVER THE BED IN PREPARATION FOR LOWERING, HE BEGAN TO SLIDE THROUGH THE SLING, BUTTOCKS FIRST. ONE STAFF MEMBER HELD THE RESIDENT WHILE THE OTHER WAS LOWERING THE FLOOR LIFT AND THE RESIDENT WAS ABLE TO BE LOWERED ONTO THE BED. NO FALL OCCURRED, NO INJURIES WERE SUSTAINED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDI LIFT 4 NONE FSA ARJOHUNTLEIGH MAGOG 87010101

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Other