BEUDAMED
    FDA Adverse Event Other Summary report: N

    ALPINE 600 LIFT

    MDR report key: 248922 · Received November 8, 1999

    Report

    Report Number
    2182305-1999-00024
    Event Type
    Other
    Date Received
    November 8, 1999
    Date of Event
    August 31, 1999
    Report Date
    October 1, 1999
    Manufacturer
    SUNRISE MEDICAL CCG
    Product Code
    FNJ
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A VERY TALL MALE RESIDENT WITH BEHAVIORAL PROBLEMS WAS MOVING AROUND AND REACHED OVER TO GRAB SOMETHING. THIS MOVEMENT SHIFTED HIS WEIGHT AND IN DOING SO LIFT TIPPED WHILE RESIDENT WAS BEING TRANSFERRED. TAKEN TO ER. LACERATION WAS SUTURED AND RESIDENT WAS RETURNED TO FACILITY. NO OTHER ADDITIONAL PROBLEMS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALPINE 600 LIFT PATIENT LIFT FNJ SUNRISE MEDICAL CCG PB600 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Hospitalization| O