FDA Adverse Event Injury Summary report: N

MAXISKY 600

MDR report key: 2861822 · Received November 29, 2012

Report

Report Number
9681684-2012-00096
Event Type
Injury
Date Received
November 29, 2012
Date of Event
November 5, 2012
Report Date
November 6, 2012
Manufacturer
ARJOHUNTLEIGH MAGOG IINC.
Product Code
FNG
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT IS BEING FILED UNDER EXEMPTION (B)(4) BY ARJOHUNTLEIGH ON BEHALF OF THE MFR ARJOHUNTLEIGH (B)(4). THE DEVICE WAS INSPECTED ON-SITE BY A REP OF THE MFR'S SALES AND SERVICE UNIT SUBSIDIARY DIVISION, NOT A DIRECT EMPLOYEE OF THE MFR. ADD'L INFO WILL BE PROVIDED FOLLOWING THE CONCLUSION OF THE MFR'S INVESTIGATION.

Description of Event or Problem · 1

THE STAFF MEMBER HAD COMPLETED THE TRANSFER OF THE RESIDENT BACK TO HER BED AND WAS POSITIONING THE MOTOR BACK TO THE CHARGING STATION. SHE WAS HOLDING THE HANGER BAR CLOSE TO THE STRAP, TO MANEUVER THE LIFT TO ITS CHARGING STATION. WHEN THE DEVICE CONNECTED TO THE CHARGING STATION, IT STARTED TO RAISE UP AND WENT PAST THE UPPER LIMIT SWITCH, AND BECAUSE THE HANGER BAR WAS ONLY INCHES FROM THE MOTOR, AND IT HAPPENED SO FAST THE STAFF MEMBER'S FINGERS WERE CAUGHT BETWEEN THE CEILING LIFT AND THE SPREADER BAR. SHE WAS ABLE TO PULL THE EMERGENCY CORD AND GET HER FINGERS OUT. SHE HAD A FRACTURE TO THE 3RD FINGER, AND A POSSIBLE FRACTURE TO THE 2ND FINGER, WITH SPLINT APPLICATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MAXISKY 600 MANUFACTURED CEILING FIXED CASSETTES FNG ARJOHUNTLEIGH MAGOG IINC. LD10211

Patients

Seq Age Sex Outcome Treatment
1 Other