BEUDAMED
    FDA Adverse Event Other Summary report: N

    SAF-LIFT

    MDR report key: 286325 · Received July 18, 2000

    Report

    Report Number
    1419652-2000-00004
    Event Type
    Other
    Date Received
    July 18, 2000
    Date of Event
    February 22, 2000
    Report Date
    July 5, 2000
    Manufacturer
    PENNER MFG
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE FACILITY REPORTS THE RESIDENT WAS BEING REMOVED FROM THE TUB WHEN THE SAF-LIFT TIPPED OVER. THE RESIDENT HAD REDNESS OF THE LEFT SHOULDER, A SCRAPED LEFT LEG, AND BRUISING ON THE LEFT HAND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SAF-LIFT PATIENT LIFT FSA PENNER MFG 20XXXX NA

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Other