BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MIRANTI LIFT

    MDR report key: 2760206 · Received May 31, 2007

    Report

    Report Number
    2760206
    Event Type
    Injury
    Date Received
    May 31, 2007
    Date of Event
    May 31, 2007
    Report Date
    May 31, 2007
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    TWO CNA STAFF MEMBERS WERE MOVING THIS RESIDENT INTO THE TUB ROOM ON THE ARJO MIRANTI LIFT. THEY WERE FOLLOWING PROPER PROTOCOL FOR LIFT USAGE. IN THE PROCESS OF PREPARING TO PLACE HER INTO THE TUB, RESIDENT ROLLED OFF THE LIFT AND FELL APPROX 3 FEET TO THE FLOOR. SHE LANDED ON HER LEFT SIDE AND STRUCK HER HEAD ON THE FLOOR. RESIDENT WAS SENT TO THE ER WITH A STAFF MEMBER IN ATTENDANCE SINCE FAMILY COULD NOT RESPOND AT THIS TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MIRANTI LIFT TUB LIFT FSA MIRANTI

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Hospitalization