BEUDAMED
    FDA Adverse Event Other Summary report: N

    SAF-LIFT

    MDR report key: 290607 · Received August 15, 2000

    Report

    Report Number
    1419652-2000-00008
    Event Type
    Other
    Date Received
    August 15, 2000
    Date of Event
    May 22, 2000
    Report Date
    June 29, 2000
    Manufacturer
    ARJO MANUFACTURING CO.
    Product Code
    FNG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THE RESIDENT FELL OUT OF THE SAF-LIFT CHAIR INTO THE TUB AFTER THE STRAP ON THE CHAIR PULLED THROUGH THE GROMMET. THE PT SUFFERED AN INJURY TO THE HEAD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SAF-LIFT BATH CHAIR FNG ARJO MANUFACTURING CO. AKBXXXX NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other