BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AMBULIFT (C-3)

    MDR report key: 269848 · Received March 15, 2000

    Report

    Report Number
    269848
    Event Type
    Injury
    Date Received
    March 15, 2000
    Date of Event
    March 3, 2000
    Report Date
    March 14, 2000
    Manufacturer
    ARJO CENTURY INC
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT WAS BEING TRANSFERRED TO THEIR BED AND THE LIFTER DROPPED TO THE FLOOR, AS A RESULT THE PT HURT THEIR HEAD AND RECEIVED 13 STAPLES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AMBULIFT (C-3) LIFTER FSA ARJO CENTURY INC AA0520-06 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 87 YR Required Intervention