BEUDAMED
    FDA Adverse Event Other Summary report: N

    SAF-LIFT

    MDR report key: 286329 · Received July 18, 2000

    Report

    Report Number
    1419652-2000-00003
    Event Type
    Other
    Date Received
    July 18, 2000
    Date of Event
    February 16, 2000
    Report Date
    July 5, 2000
    Manufacturer
    PENNER MFG
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OK, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    THE FACILITY REPORTED THE RESIDENT FELL FROM THE SAF LIFT CHAIR WHEN THE CHAIR DISENGAGED. THE RESIDENT COMPLAINED OF HIP AND HEAD PAIN.

    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 78 YR Other