BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EVA450 EE

    MDR report key: 2559519 · Received May 1, 2012

    Report

    Report Number
    3005536958-2012-00002
    Event Type
    Injury
    Date Received
    May 1, 2012
    Date of Event
    April 3, 2012
    Report Date
    May 1, 2012
    Manufacturer
    HANDICARE, AB
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CAREGIVER WAS PERFORMING A TRANSFER FROM BED TO CHAIR. BROUGHT THE LIFT IN AT PERPENDICULAR ANGLE TO CHAIR TO AVOID REMOVING CHAIR FOOTRESTS. BASE OF LIFT WAS WEDGED UNDER CHAIR PREVENTING THE LIFT FROM ROLLING TO COUNTER BALANCE PATIENT WEIGHT. LIFT TIPPED DURING TRANSFER. STAFF SLOWLY LOWERED PATIENT TO THE FLOOR. NO INJURIES WERE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EVA450 EE PATIENT LIFT FSA HANDICARE, AB EVA450 EE

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Other